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Quality of life changes after submucosal tunneling endoscopic septum division for esophageal diverticulum
Received:February 06, 2020  Revised:March 29, 2020  Click here to download the full text
Citation of this paper:ZHANG Dan-feng,WANG Dou,CHEN Wei-feng,CHENG Jing,LI Quan-lin,ZHOU Ping-hong.Quality of life changes after submucosal tunneling endoscopic septum division for esophageal diverticulum[J].Chinese Journal of Clinical Medicine,2020,27(3):448-452
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Author NameAffiliationE-mail
ZHANG Dan-feng Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
WANG Dou Department of Gastroenterology, Xigaze People's Hospital, Shigatse 857000, Tibet, China  
CHEN Wei-feng Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Department of Gastroenterology, Xigaze People's Hospital, Shigatse 857000, Tibet, China 
 
CHENG Jing Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
LI Quan-lin Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
ZHOU Ping-hong Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China zhou.pinghong@zs-hospital.sh.cn 
Abstract:Objective: To explore the improvement of quality of life of patients with esophageal diverticulum by submucosal tunneling endoscopic septum division (STESD).Methods: Clinical data of 11 patients who had received STESD for esophageal diverticulum from April 2016 to April 2018 were retrospectively analyzed. Esophagograms and endoscopic examination were assessed before and after the operation. All patients completed the assessment of the SF-36 scale before STESD and 5-month after the surgery.Results: Mucosal injury occurred in 2 patients. No severe complications were observed. Three patients (27.3%) were completely symptom-free till the last follow-up, and 7 (63.6%) reported relieved symptoms. The total scores of SF-36 scale before and after the procedure were (116.0±23.6) and (135.1±9.0) points respectively (P=0.014). General health, vitality and mental health after surgery showed significant improvement than those before surgery (P=0.003, P=0.006, and P=0.037, respectively).Conclusions: STESD is a safe and valid endoscopic minimal invasive surgery, and it can efficiently improve patients' quality of life.
keywords:submucosal tunneling endoscopic septum division  esophageal diverticulum  quality of life  endoscopy
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