ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC TRANSESOPHAGEAL RETROGRADE DRAINAGE TANDEM WITH ENDOSCOPIC CLOSURE FOR MANAGEMENT OF ESOPHAGEAL LEAK AFTER PERORAL ENDOSCOPIC MYOTOMY FOR ZENKER’S DIVERTICULUM

ENDOSCOPIC TRANSESOPHAGEAL RETROGRADE DRAINAGE TANDEM WITH ENDOSCOPIC CLOSURE FOR MANAGEMENT OF ESOPHAGEAL LEAK AFTER PERORAL ENDOSCOPIC MYOTOMY FOR ZENKER’S DIVERTICULUM

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Video Transcription

Video Summary

The video discusses the case of an 81-year-old male with Zenker's diverticulum and cricopharyngeal muscle hypertrophy who underwent per-oral endoscopic myotomy (POEM). After the procedure, the patient developed an esophageal leak, which was initially closed with an esophageal metal stent. However, the stent migrated causing a reopening of the leak. Due to the patient's age and comorbidities, surgical intervention was avoided, and endoscopic guided direct transesophageal puncture and retrograde drainage were performed. This technique involved using various endoscopic tools to drain and close the leak successfully. The patient showed resolution of the leak and was discharged, highlighting the effectiveness of this minimally invasive approach.

Asset Subtitle

Best of the Best
Authors: Sonmoon Mohapatra, Norio Fukami

Keywords

Zenker's diverticulum

cricopharyngeal muscle hypertrophy

per-oral endoscopic myotomy

esophageal leak

endoscopic guided direct transesophageal puncture