Evidence map›Paper›PMID 40119259›Full record

ArticleBMC gastroenterology2025

Magnet-assisted diverticuloplasty for treating the symptomatic esophageal diverticulum: a case series (with video).

Ruide Liu, Xianhui Zeng, Xianglei Yuan, Wei Liu, Shuang Liu, Yinong Zhu, Bing Hu

Abstract readVideo-Audio Media
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Ruide Liu *Department of Gastroenterology and Hepatology, West China Hospital, Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No.37, Guo Xue Alley, Wuhou district, Chengdu, Sichuan Province, China.
Xianhui Zeng *Department of Gastroenterology and Hepatology, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0002-2865-7560
Xianglei Yuan *Department of Gastroenterology and Hepatology, West China Hospital, Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No.37, Guo Xue Alley, Wuhou district, Chengdu, Sichuan Province, China.
Wei LiuDepartment of Gastroenterology and Hepatology, West China Hospital, Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No.37, Guo Xue Alley, Wuhou district, Chengdu, Sichuan Province, China.
Shuang LiuDepartment of Gastroenterology and Hepatology, West China Hospital, Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No.37, Guo Xue Alley, Wuhou district, Chengdu, Sichuan Province, China.
Yinong ZhuDepartment of Gastroenterology and Hepatology, West China Hospital, Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No.37, Guo Xue Alley, Wuhou district, Chengdu, Sichuan Province, China.
Bing HuDepartment of Gastroenterology and Hepatology, West China Hospital, Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No.37, Guo Xue Alley, Wuhou district, Chengdu, Sichuan Province, China. hubing@wchscu.edu.cn.ORCID http://orcid.org/0009-0007-2272-747X

Funding

1·3·5 project for disciplines of excellence, West China Hospital, Sichuan University ZYJC21011National Natural Science Foundation of China 82170675
6 · The paper itself

Abstract

backgroundThe development of the magnetic compression technique (MCT) for the gastrointestinal (GI) tract has been widely applied in the treatment of biliary strictures, esophageal atresia, and GI anastomoses. Our team combined the MCT and minimally invasive endoscopic operation to propose a novel alternative procedure called magnet-assisted diverticuloplasty (MAD) for treating various esophageal diverticula. This case series aimed to report the effectiveness, safety, and our experience of MAD.

methodsThis retrospective case series included patients with symptomatic esophageal diverticulum (SED) who underwent MAD between November 2017 and June 2022 in West China Hospital, Sichuan University. The patients' symptomatic scores were accessed by Eckardt symptomatic scores. The telephone follow-up period ended in March 2023. The primary outcome of the study was clinical success. Secondary outcomes included the technical success of MAD, procedure time, hospitalization, recurrence, and adverse events.

resultsWe reported 6 patients with SED who underwent MAD (3 with Zenker's, 1 with middle, and 2 with lower esophageal diverticulum). The technical success rate was 100% (6/6) and no adverse events were reported. The median procedural duration was 22.5 min (interquartile range (IQR) 18.5). The mean hospitalization was 2 days (range 1-3). The median time of follow-up endoscopy was on postoperative day 18 (IQR 31), revealing a shortened diverticular septum under endoscopic examination. After a median telephone follow-up of 23 months (IQR 36), the median total symptomatic score decreased significantly from 4.00 (IQR 3.25) to 1.00 (IQR 2.00) (P = 0.015). The clinical success rate was 83.3% (5/6), and only one patient had recurrent symptoms two years after MAD.

conclusionMAD provided a novel method for treating SED. Our limited experience suggested that MAD could be minimally invasive and effective. More extensive, multicenter prospective studies were needed to assess this technique further.

Indexed as

Diverticulum, EsophagealEsophagoscopyMagnetsAdultAgedFemaleHumansLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresOperative TimeRecurrenceRetrospective StudiesTreatment OutcomeEsophageal diverticulumMagnet-assisted diverticuloplastyMagnetic compression techniquePeroral endoscopic myotomySymptomatic esophageal diverticulum

Identifiers

PMID40119259
PMCPMC11927191

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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.