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Ward MA, Fair L, Misenhimer J, Esteva S, Greenberg I, Ogola G, Aladegbami B, Leeds SG, Kedia P. Per-oral endoscopic myotomy is a safe and effective treatment for Zenker's diverticulum: a retrospective multicenter study. Dis Esophagus 2023; 36:doad041. [PMID: 37391268 DOI: 10.1093/dote/doad041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 06/14/2023] [Indexed: 07/02/2023]
Abstract
Zenker per-oral endoscopic myotomy (ZPOEM) has become a promising technique for Zenker's diverticulum (ZD). The aim of this study was to add to the limited body of literature evaluating the safety and efficacy of ZPOEM. A prospectively maintained database was retrospectively reviewed to identify patients who underwent ZPOEM at two separate institutions between January 2020 and January 2022. Demographics, preoperative and postoperative clinical data, intraoperative data, adverse events, and length of stay were analyzed. A total of 40 patients (mean age 72.5 years, 62.5% male) were included. Average operative time was 54.7 minutes and average length of stay was 1.1 days. There were three adverse events, and only one was related to the technical aspects of the procedure. Patients showed improvement in the Functional Oral Intake Scale (FOIS) scores at 1 month (5 vs 7, p < 0.0001). The median FOIS scores remained 7 at both 6 and 12 months, although this improvement was not statistically significant at these time intervals (p = 0.46 and 0.37, respectively). Median dysphagia scores were decreased at 1 (2.5 vs 0, p < 0.0001), 6 (2.5 vs 0, p < 0.0001), and 12 months (2.5 vs 0, p = 0.016). The number of patients reporting ≥1 symptom was also decreased at 1 (40 vs 9, p < 0.0001) and 6 months (40 vs 1, p = 0.041). Although the number of patients reporting ≥1 symptom remained consistent at 12 months, this was not statistically significant (40 vs 1, p = 0.13). ZPOEM is a safe and highly effective treatment for the management of ZD. .
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Affiliation(s)
- Marc A Ward
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA
- Center for Advanced Surgery, Baylor Scott and White Health, Dallas, TX, USA
- Texas A&M College of Medicine, Bryan, TX, USA
| | - Lucas Fair
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA
- Center for Advanced Surgery, Baylor Scott and White Health, Dallas, TX, USA
- Research Institute, Baylor Scott and White Health, Dallas, TX, USA
| | - Jennifer Misenhimer
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA
- Center for Advanced Surgery, Baylor Scott and White Health, Dallas, TX, USA
| | - Simón Esteva
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA
- Center for Advanced Surgery, Baylor Scott and White Health, Dallas, TX, USA
- Texas A&M College of Medicine, Bryan, TX, USA
| | | | - Gerald Ogola
- Research Institute, Baylor Scott and White Health, Dallas, TX, USA
| | - Bola Aladegbami
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA
- Center for Advanced Surgery, Baylor Scott and White Health, Dallas, TX, USA
- Texas A&M College of Medicine, Bryan, TX, USA
| | - Steven G Leeds
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA
- Center for Advanced Surgery, Baylor Scott and White Health, Dallas, TX, USA
- Texas A&M College of Medicine, Bryan, TX, USA
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Esteva S, Fair L, Srinilta D, Mauskar N, Matthews T, Rabeler B, Wright K, Robledo R, Leeds S, Ward M, Aladegbami B. Traumatic abdominal wall hernia and Morel-Lavallee lesion in a pediatric patient. Proc (Bayl Univ Med Cent) 2022; 36:123-125. [PMID: 36578598 PMCID: PMC9762745 DOI: 10.1080/08998280.2022.2119565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Traumatic abdominal wall hernias and abdominal Morel-Lavallee lesions rarely occur in blunt abdominal trauma. There are only a few documented cases of these occurring simultaneously, especially in the pediatric population. We report a case of a 15-year-old boy with a concomitant traumatic abdominal wall hernia and Morel-Lavallee lesions. Abdominal wall reconstruction was performed successfully via the collaboration of trauma, minimally invasive surgery, and plastic surgery teams.
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Affiliation(s)
- Simón Esteva
- College of Medicine, Texas A&M Health Science Center, Bryan, Texas,Corresponding author: Simón Esteva, MS, College of Medicine, Texas A&M Health Science Center, 4210 Fairmount Dr., Apt. 4027, Bryan, TX75219 (e-mail: )
| | - Lucas Fair
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, Texas,Department of Trauma Surgery and Surgical Critical Care, Baylor University Medical Center, Dallas, Texas
| | - Dianne Srinilta
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, Texas,Department of Trauma Surgery and Surgical Critical Care, Baylor University Medical Center, Dallas, Texas
| | - Neil Mauskar
- Department of Plastic and Reconstructive Surgery, Baylor University Medical Center, Dallas, Texas
| | - Tanner Matthews
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, Texas,Department of Trauma Surgery and Surgical Critical Care, Baylor University Medical Center, Dallas, Texas
| | - Brandon Rabeler
- Department of Trauma Surgery and Surgical Critical Care, Baylor University Medical Center, Dallas, Texas
| | - Katherine Wright
- Department of Trauma Surgery and Surgical Critical Care, Baylor University Medical Center, Dallas, Texas
| | - Rosemarie Robledo
- Department of Trauma Surgery and Surgical Critical Care, Baylor University Medical Center, Dallas, Texas
| | - Steven Leeds
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, Texas
| | - Marc Ward
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, Texas
| | - Bola Aladegbami
- Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, Texas
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Esteva S, Tuttle E, Huang H, Mewada N. Acute interstitial pneumonia due to amyopathic dermatomyositis. Proc (Bayl Univ Med Cent) 2022; 35:860-862. [DOI: 10.1080/08998280.2022.2111641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
Affiliation(s)
| | - Erin Tuttle
- Department of Pulmonary and Critical Care Medicine, Baylor University Medical Center, Dallas, Texas
| | - He Huang
- Department of Pathology, Baylor University Medical Center, Dallas, Texas
| | - Nishith Mewada
- Department of Pulmonary and Critical Care Medicine, Baylor University Medical Center, Dallas, Texas
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Esteva S, Panisello P, Torrella R, Pagès T, Viscor G. Blood rheological behaviour in rats after intermittent hypobaric hypoxia exposure to 5000 m. Comp Biochem Physiol A Mol Integr Physiol 2007. [DOI: 10.1016/j.cbpa.2007.01.340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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