ASGE DDW Videos from Around the World | 2024-UNVEILING THE UNSEALED: A MODIFIED ZENKER'S PERORAL ENDOSCOPIC MYOTOMY WITH OPEN INCISION

UNVEILING THE UNSEALED: A MODIFIED ZENKER'S PERORAL ENDOSCOPIC MYOTOMY WITH OPEN INCISION

Video Transcription

Video Summary

The Zahnker's peroral endoscopic myotomy procedure for Zahnker's diverticulum had limitations leading to a modified OPEN-Z-POEM approach. This approach involves complete myotomy without endoscopic clips, reducing recurrence rates and procedure costs. By refining techniques like using a scissor-type knife for all steps and extending myotomy, the success rate improved with shorter procedure times. Technical and clinical success were achieved in all cases with a quick recovery. Two adverse events were reported but effectively managed. The Open Z-POEM method simplifies treatment, lowers costs, and shows promise in reducing recurrence rates for Zahnker's diverticulum patients.

Asset Subtitle

Video Plenary
Mouen Khashab

Meta Tag

Concept Zenker Diverticulum

Concept OPEN-Z-POEM

Concept Myotomy

Concept Z-POEM

Concept Recurrence

Keywords

Zahnker's diverticulum

peroral endoscopic myotomy

OPEN-Z-POEM approach

myotomy without endoscopic clips

reducing recurrence rates

Zenker Diverticulum

OPEN-Z-POEM

Myotomy

Z-POEM

Recurrence