{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:26:40Z","timestamp":1790278000572,"version":"4.1.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"12","funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["81770561"],"award-info":[{"award-number":["81770561"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["81470830"],"award-info":[{"award-number":["81470830"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Special Diagnosis and Treatment Technology of Clinical Key Diseases","award":["LCZX201421"],"award-info":[{"award-number":["LCZX201421"]}]},{"name":"Innovation team","award":["CXTDA2017033"],"award-info":[{"award-number":["CXTDA2017033"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2002Symptomatic epiphrenic diverticula are mostly treated with laparoscopic diverticulectomy. Our study aimed to demonstrate the safety and efficacy of submucosal tunneling endoscopic septum division (STESD) for treatment of symptomatic epiphrenic diverticula.<\/jats:p><jats:p>\n          Methods\u2002Data from patients with epiphrenic diverticula who had undergone STESD were retrospectively reviewed. The parameters analyzed were the modified Eckardt score, total procedure time, length of hospital stay (LOS), number of clips used, adverse events, and patient satisfaction.<\/jats:p><jats:p>\n          Results\u2002A total of eight patients (5 men; mean [standard deviation (SD)] age 66.25 [7.17] years) were enrolled in our study. The mean (SD) size of epiphrenic diverticula was 3.68 (1.59) cm. The mean (SD) procedure time was 52.87 (22.47) minutes, with a median number of six clips being applied. The modified Eckardt score significantly decreased post-procedure (P\u200a&lt;\u200a0.001). The mean (SD) LOS was 5.87 (0.83) days. No adverse events or symptom recurrences were reported.<\/jats:p><jats:p>\n          Conclusion\u2002STESD is a safe and effective technique to be performed in the submucosal tunnel for the management of patients with epiphrenic diverticula.<\/jats:p>","DOI":"10.1055\/a-1024-5879","type":"journal-article","created":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T18:45:17Z","timestamp":1571683517000},"page":"1141-1145","source":"Crossref","is-referenced-by-count":24,"title":["Safety and efficacy of submucosal tunneling endoscopic septum division for epiphrenic diverticula"],"prefix":"10.1055","volume":"51","author":[{"given":"Xuan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China"},{"name":"Department of Gastroenterology, The First School of Clinical Medicine of Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weifeng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China"},{"name":"Department of Gastroenterology, The First School of Clinical Medicine of Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institution, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Changzhou NO.2 People\u02bcs Hospital, Changzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yini","family":"Dang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China"},{"name":"Department of Gastroenterology, The First School of Clinical Medicine of Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Cai","sequence":"additional","affiliation":[{"name":"Advanced Endoscopy Fellowship, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinghong","family":"Zhou","sequence":"additional","affiliation":[{"name":"Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital Fudan University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoxin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China"},{"name":"Department of Gastroenterology, The First School of Clinical Medicine of Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,10,21]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1024-5879.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T09:15:35Z","timestamp":1576833335000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1024-5879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,21]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,11,27]]},"published-print":{"date-parts":[[2019,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1024-5879","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,21]]}}}