Modified submucosal tunneling endoscopic septum division for symptomatic esophageal diverticula: a prospective case series (with video)

Submucosal tunneling endoscopic septum division (STESD) is a valid endoscopic modality for treating esophageal diverticula. However, it requires highly skilled endoscopists. Here, we propose a modified STESD method. This is a single-center, prospective case series. We consecutively enrolled 8 patien...

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Bibliographic Details
Published in:Gastrointestinal endoscopy 2024-12, Vol.100 (6), p.1100-1103
Main Authors: Yinhe, Sikong, Yang, Jiao, Ruyuan, Li
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Blood Loss, Surgical
Diverticulum, Esophageal - surgery
Esophagoscopy - methods
Female
Humans
Male
Middle Aged
Operative Time
Prospective Studies
Citations: Items that this one cites
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Summary:Submucosal tunneling endoscopic septum division (STESD) is a valid endoscopic modality for treating esophageal diverticula. However, it requires highly skilled endoscopists. Here, we propose a modified STESD method. This is a single-center, prospective case series. We consecutively enrolled 8 patients diagnosed with esophageal diverticula. All patients underwent the modified STESD by 1 experienced endoscopist. Only 1 patient had intraoperative bleeding, which was successfully stopped endoscopically. The mean ± standard deviation size of the diverticula was 3.16 ± 1.14 cm. The operation time ranged from 27 to 68 minutes, with a mean value of 40.88 minutes. The number of clips ranged from 4 to 8. The success rate was 100%. None of the patients had symptom recurrences during 2 to 25 months of follow-up. The modified STESD method for esophageal diverticula is effective and safe; further large prospective controlled studies are needed. [Display omitted]
ISSN:0016-5107
1097-6779
1097-6779
DOI:10.1016/j.gie.2024.05.025