Magnetic compression for treatment of large oesophageal diverticula: a new endoscopic approach for a risky surgical disease?

Message Magnetic compression resulting in serosa-to-serosa apposition followed by pressure necrosis has been shown to be able to create solid anastomostic connections and has been reported in conditions such as oesophageal atresia, benign biliary strictures and malignant gastric outlet obstruction. This first series evaluated this technique for the management of large intrathoracic oesophageal diverticula by creating a communication between the bottom of the diverticulum and the distal oesophagus followed, in a second endoscopy session, by the transection of the proximal septum. Four patients underwent this procedure without complications and with excellent clinical outcome, suggesting that this might be a very promising endoscopic approach avoiding surgery in these difficult cases (figure 1). In more detail While peroral endotherapy for Zenker's diverticulum has been largely described and is now accepted as a first-line treatment (Huberty V et al. Gatrointest Endosc 2013;77:701–7), various endoscopic treatments for...
Source: Gut - Category: Gastroenterology Authors: Tags: Endoscopy, Gastric emptying disorders, Stomach and duodenum Endoscopy news Source Type: research