Evidence map›Paper›PMID 28533665›Full record

ArticleWorld journal of gastroenterology2017

New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series.

Johanna Wilmsen, Robert Baumbach, Dietmar Stüker, Vincens Weingart, Frank Neser, Stefan Karl Gölder, Christof Pfundstein, Ellen Claudia Nötzel, Thomas Rösch, Siegbert Faiss

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
9.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Johanna WilmsenJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Robert BaumbachJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Dietmar StükerJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Vincens WeingartJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Frank NeserJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Stefan Karl GölderJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Christof PfundsteinJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Ellen Claudia NötzelJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Thomas RöschJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Siegbert FaissJohanna Wilmsen, Robert Baumbach, Siegbert Faiss, Department of Gastroenterology and Interventional Endoscopy, Asklepios Hospital Barmbek, Semmelweis University, Medical Faculty, Campus Hamburg, 22291 Hamburg, Germany.
Asklepios Klinik Barmbek · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo report about the combination and advantages of a stapler-assisted diverticulotomy performed by flexible endoscopy.

methodsFrom November 2014 till December 2015 17 patients (8 female, 9 male, average age 69.8 years) with a symptomatic Zenker diverticulum (mean size 3.5 cm) were treated by inserting a new 5 mm fully rotatable surgical stapler (MicroCutter30 Xchange, Cardica Inc.) next to an ultrathin flexible endoscope through an overtube. The Patients were under conscious sedation with the head reclined in left position, the stapler placed centrally and pushed forward to the bottom of the diverticulum. The septum was divided by the staple rows under flexible endoscopic control.

resultsIn eleven patients (64.7%) the stapler successfully divided the septum completely. Mean procedure time was 21 min, medium size of the septum was 2.8 cm (range 1.5 cm to 4 cm). In four patients the septum was shorter than 3 cm, in seven longer than 3 cm. To divide the septum, averagely 1.3 stapler cartridges were used. Two minor bleedings occurred. Major adverse events like perforation or secondary haemorrhage did not occur. After an average time of two days patients were discharged from the hospital. In 6 patients (35.3%) the stapler failed due to a thick septum or insufficient reclination of the head. Follow up endoscopy was performed after an average of two months in 9 patients; 4 patients (44.4%) were free of symptoms, 5 patients (55.6%) stated an improvement. A relapse of symptoms did not occur.

conclusionFlexible endoscopic Zenker diverticulotomy by using a surgical stapler is a new, safe and efficient treatment modality. A simultaneously tissue opening and occlusion prevents major complications.

Indexed as

Surgical StaplersAdultAgedAged, 80 and overEsophagoscopyEsophagusFeasibility StudiesFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesSurgical StaplingTreatment OutcomeZenker DiverticulumFlexible endoscopic treatmentOvertubeStapler techniqueSurgical staplerZenker’s diverticulum

Identifiers

PMID28533665
PMCPMC5423045
OpenAlexW2610872318

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.