ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2026
Minimally invasive surgical management of mid- to distal esophageal diverticula: a large single-center review.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Current status of minimally invasive surgery for thoracic esophageal diverticula: systematic review and meta-analysis.Surgical endoscopy · 2026Review
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Authors and funding
9 authors.
Funding
Abstract
purposeThis study aimed to investigate the outcomes of minimally invasive surgery for mid- to distal thoracic esophageal diverticula (TED).
methodsThis was a retrospective review of patients who underwent surgery for symptomatic TED. Patients with Zenker diverticulum were excluded. Demographic information and operative details were recorded. Dysphagia score was defined using the Knyrim scoring system (0 = no dysphagia, 1 = hard solids, 2 = soft solids, 3 = liquids, and 4 = saliva). The follow-up included clinical encounters, barium esophagram in all patients, and endoscopy in those who developed postoperative symptoms.
resultsFrom September 2001 to September 2024, there were 91 patients with a median follow-up of 19 months. Of note, 79 patients (86.8%) presented with dysphagia. Achalasia was identified in 27 patients. Surgical approaches included thoracoscopy (58.2%), laparoscopy (31.9%), or both (8.8%). Myotomy was performed in 85.7% of patients. There were no perioperative mortalities. The median hospital length of stay was 6 days. Of note, 6 patients had an esophageal leak postoperatively, and 4 patients required intervention. Of the 26 patients with a residual or recurrent diverticulum, only 4 required reoperation. At the first postoperative visit, all patients reported an improvement in their dysphagia scores, and 88.6% of patients reported no dysphagia. At a median follow-up of 19 months, 30 patients reported some degree of dysphagia, but overall, the dysphagia scores remained significantly improved compared with those in the preoperative period (P <.001).
conclusionMinimally invasive treatment of symptomatic, mid- to lower TED resulted in significant improvement in dysphagia scores and low morbidity.
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