SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017
Systematic Review and Meta-analysis of SurgicalTreatment of Non-Zenker's Oesophageal Diverticula.
Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Peroral Endoscopic Myotomy Is a Safe and Feasible Option in Management of Esophageal Diverticula: Systematic Review and Meta-Analysis.Digestive diseases and sciences · 2021Pooled it
- Magnets and a self-retractable wire for endoscopic septotomies: from concept to first-in-human use.Endoscopy · 2022Trial
- Current status of minimally invasive surgery for thoracic esophageal diverticula: systematic review and meta-analysis.Surgical endoscopy · 2026Review
- Endoscopic esophageal reconstruction in epiphrenic diverticulum: septotomy-free diverticulectomy and suturing.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026Article
- Peroral Endoscopic Myotomy for Epiphrenic Diverticulum in a High-Risk Patient With Esophagogastric Junction Outlet Obstruction.ACG case reports journal · 2026Article
- Endoscopic treatment for dysphagia caused by mid-esophageal diverticulum and diffuse esophageal spasm: A case report.World journal of gastrointestinal endoscopy · 2025Article
- Endoscopic diverticulectomy and myotomy for epiphrenic diverticulum.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025Article
- Laparoscopic transhiatal surgery based on high-resolution manometric evaluation of epiphrenic esophageal diverticulum.Clinical journal of gastroenterology · 2025Article
- Article
- Diverticular peroral endoscopic myotomy (D-POEM) for symptomatic oesophageal diverticulum: a multicentre cohort study with a minimum follow-up of 3 years.Surgical endoscopy · 2024Article
- Efficacy and safety of peroral endoscopic myotomy for esophageal diverticula.Endoscopy international open · 2023Article
- Esophageal diverticula: from diagnosis to therapeutic management-narrative review.Journal of thoracic disease · 2023Review
- Robotics and minimally invasive esophageal surgery.Annals of translational medicine · 2021Review
- Mid-oesophageal traction diverticulum in a patient with systemic lupus erythematosus.BMJ case reports · 2021Article
- Parapneumonic Effusion and Tension Pneumothorax after Diverticular Peroral Endoscopic Myotomy in a Woman with Large Epiphrenic Diverticulum: A Case Report and Literature Review.Clinical endoscopy · 2021Article
- Per-oral endoscopic myotomy with septotomy for the treatment of distal esophageal diverticula (D-POEM).Surgical endoscopy · 2020Article
- Semi-prone video-assisted thoracoscopy for the treatment of large infracarinal traction diverticula.Langenbeck's archives of surgery · 2019Article
- [Esophageal diverticula (excluding cricopharyngeal diverticula)].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOesophageal diverticula are rare outpouchings of the oesophagus which may be classified anatomically as pharyngeal (Zenker's), mid-oesophageal and epiphrenic. While surgery is indicated for symptomatic patients, no consensus exists regarding the optimum technique for non-Zenker's oesophageal diverticula. The aim of this study was to determine the outcome of surgery in patients with non-Zenker's oesophageal diverticula.
methodsPubMed, MEDLINE and the Cochrane Library (January 1990 to January 2016) were searched for studies which reported outcomes of surgery in patients with non-Zenker's oesophageal diverticula. Primary outcome measure was the rate of staple line leakage.
resultsTwenty-five observational studies involving 511 patients (259 male, median age 62 years) with mid-oesophageal (n = 53) and epiphrenic oesophageal (n = 458) diverticula who had undergone surgery [thoracotomy (n = 252), laparoscopy (n = 204), thoracoscopy (n = 42), laparotomy (n = 5), combined laparoscopy and thoracoscopy (n = 8)] were analysed. Myotomy was performed in 437 patients (85.5%), and anti-reflux procedures were performed in 342 patients (69.5%). Overall pooled staple line leak rates were reported in 13.3% [95% c.i. (11.0-15.7), p < 0.001] and were less common after myotomy (12.4%) compared with no myotomy (26.1%, p = 0.002).
conclusionsNo consensus exists regarding the surgical treatment of non-Zenker's oesophageal diverticula, but staple line leakage is common and is reduced significantly by myotomy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.