Peroral endoscopic myotomy with diverticulum resection

Abstract

Nishikawa et al Video Case Report

Peroral endoscopic myotomy, septotomy, and restoration of esophageal lumen with over-the-scope clips: closing the circle of esophageal diverticula management

“…Peroral endoscopic myotomy (POEM) is an option for esophageal diverticula treatment based on septum myotomy. However, a significant number of patients continue to be symptomatic owing to the pouch persistence 1 2 3 4 .…”

“…Peroral endoscopic myotomy (POEM) is an option for esophageal diverticula treatment based on septum myotomy. However, a significant number of patients continue to be symptomatic owing to the pouch persistence [1][2][3][4]. A 66-year-old man with significant weight loss, dysphagia, and chest pain was referred to our unit.…”

Recent advancement of submucosal endoscopy: Peroral endoscopic myotomy and offshoot

“…Muscle dissection of distal septum and LES can be completed in single submucosal tunnel. Recently, this method was combined with diverticulotomy and closure of muscle defect which is equivalent to surgical repair 8 …”

“…Recently, this method was combined with diverticulotomy and closure of muscle defect which is equivalent to surgical repair. 8…”

“…After that, based on clinical experience of POEM, further submucosal endoscopic procedures were developed, including peroral endoscopic tumor resection (POET), submucosal tunneling endoscopic resection (STER), gastric POEM (G-POEM), POEM for Zenker's diverticulum (Z-POEM) and POEM with diverticulum resection (D-POEM). [4][5][6][7][8] Furthermore, peroral endoscopic fundoplication (POEF), which involves endoscopic fundoplication in the abdominal cavity, is now being performed in clinical practice. 9 In this article, we will describe major submucosal endoscopy for the upper gastrointestinal tract.…”