Minimally invasive therapy for epiphrenic diverticula : Systematic review of literature and report of six cases
Gonzalez-Calatayud, Mariel (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Targarona, Eduardo M. (Institut d'Investigació Biomèdica Sant Pau)
Balagué Ponz, Carmen (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Rodriguez-Luppi, Carlos (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Martín Arnau, Belén (Institut d'Investigació Biomèdica Sant Pau)
Trias, Manuel (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Universitat Autònoma de Barcelona. Departament de Cirurgia

Data:	2014
Resum:	Introduction: Epiphrenic diverticula (ED) are infrequent and conventional surgical treatment entails aggressive open or transthoracic surgery. Minimally invasive treatment has changed the surgical approach but some surgical controversies are not resolved. Objective: The objective of this study is to describe our experience in minimally invasive treatment of the ED and to perform a systematic review of the current literature in this subject. Materials and Methods: We reviewed all data from the Hospital de Sant Pau, focusing on patients that underwent minimally invasive treatment for an ED since 1998 to date. Furthermore, we performed a systematic literature review focused on the minimally invasive approach for ED. Results: A total of 6 patients have been treated (5 transhiatal and 1 with abdominal and thoracic approach). We found a predominance of males with a median age of 63. The diagnosis was made with an endoscopy, barium swallow and manometry. Half of the manometry results were pathologic. The surgical technique involved a diverticulectomy, myotomy and a Dor partial founduplication. Two patients that presented suture line leakage (SLL) were treated conservatively. No mortality was reported. The systematic review was carried out under the Preferred Reporting Items for Systematic Reviews and Meta-analyses scheme, with a total of 20 studies where 189 patients were found. No comparative or prospective randomised trials were found. Overall morbidity was 24%, with a SLL rate of 12%, hospital stay of 5 days and mortality of 1. 5%. After a median follow-up of 42 months, 81. 5% of the patients were asymptomatic. Conclusion: The minimally invasive approach for ED is a safe and feasible procedure.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra, i la creació d'obres derivades, sempre que no sigui amb finalitats comercials i que es distribueixin sota la mateixa llicència que regula l'obra original. Cal que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Matèria:	Epiphrenic diverticula ; Oesophageal diverticulum ; Minimally invasive surgery
Publicat a:	Journal of Minimal Access Surgery, Vol. 10 Núm. 4 (january 2014) , p. 169-174, ISSN 1998-3921

DOI: 10.4103/0972-9941.141498
PMID: 25336815

6 p, 417.8 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
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