ASGE DDW Videos from Around the World | 2024-MODIFIED DIVERTICULAR PERORAL ENDOSCOPIC MYOTOMY WITH PERIDIVERITUCLAR ADHESIOLYSIS AND MUCOSAL FLAP RECONSTRUCTION

MODIFIED DIVERTICULAR PERORAL ENDOSCOPIC MYOTOMY WITH PERIDIVERITUCLAR ADHESIOLYSIS AND MUCOSAL FLAP RECONSTRUCTION

Video Transcription

Video Summary

The technique of diverticular peroral endoscopic myotomy was described as a minimally invasive procedure for treating large esophageal diverticula. The procedure involves creating a submucosal tunnel to expose and dissect the muscular septum on both sides of the diverticulum. In cases of extensive fibrosis and atrophic submucosa limiting dissection, the muscle is pierced to reach and dissect through the peridiverticular space. A full thickness myotomy is performed to allow the diverticulum to eventually collapse. Mucosotomy and flap reconstruction are done to prevent food retention. The patient in the case study experienced symptom resolution and weight gain post-procedure. Further research is needed to confirm the technique's safety and efficacy.

Asset Subtitle

World Cup
Authors: Hany Shehab, Mohamed Alkady, Ismail Fadloon, Abeer Nafea, Abdelazeez Gaber

Meta Tag

Concept D-POEM

Concept Esophageal Diverticulum

Concept Submucosal Tunneling

Concept Septotomy

Concept Full-thickness Myotomy

Keywords

diverticular peroral endoscopic myotomy

minimally invasive procedure

large esophageal diverticula

submucosal tunnel

muscular septum

D-POEM

Esophageal Diverticulum

Submucosal Tunneling

Septotomy

Full-thickness Myotomy