Endoscopic Staple Diverticulostomy for XXXX : Review of Experience in 337 Cases.

@entity1 @entity15809 @entity1282
OBJECTIVE: Surgical treatment of @entity15809 ( @entity15809 ) has evolved over the previous 2 decades to a predominantly endoscopic approach. In this study, we review our experience with endoscopic staple-assisted diverticulostomy (ESD) for treatment of @entity15809 from 2002 to 2011. METHODS: Retrospective chart review of 359 primary and revision ESD procedures performed on 337 unique @entity1 between September 2002 and December 2011. Data were tabulated for age, sex, size of diverticulum, time to symptom recurrence, complications, and relief of symptoms. RESULTS: Of 337 attempted primary ESD procedures, 3.9% (N = 13) were aborted due to inadequate exposure. Of 324 @entity1 who underwent primary ESD, 93.8% (N = 304) reported postoperative improvement of @entity1282 symptoms. There was a 4.0% (N = 13) major complication rate. @entity1 -reported recurrence of symptoms occurred in 7.1% (N = 23) of primary ESD @entity1 but was not significantly associated with diverticulum size (P = .9765). Twenty-one @entity1 underwent revision ESD, with 95% (N = 20) of @entity1 reporting improvement and 4.8% (N = 1) developing recurrent symptoms. CONCLUSION: Primary and revision ESD were shown to have similar success at relieving the symptoms of @entity15809 , with low procedure abandonment and perioperative complication rates. Further @entity1 follow-up is needed to determine the durability of symptom improvement and @entity15809 recurrence rate following ESD.
