ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC DIVERTICULECTOMY AND MYOTOMY FOR EPIPHRENIC DIVERTICULUM

ENDOSCOPIC DIVERTICULECTOMY AND MYOTOMY FOR EPIPHRENIC DIVERTICULUM

Video Transcription

Video Summary

A 65-year-old male with difficulty swallowing and chest pain was diagnosed with a 4 cm epiphrenic diverticulum due to spastic achalasia. The patient underwent a minimally invasive procedure involving peroral endoscopic myotomy (POEM) and endoscopic diverticulectomy. The procedure included submucosal dissections, myotomies to reduce pressure, and a hand-sutured closure to prevent recurrence. Postoperative recovery included no complications, with oral intake resumed on day 2 and discharge on day 4. This approach effectively addressed the diverticulum while minimizing risks associated with traditional surgery, offering a promising treatment for esophageal motility disorders.

Asset Subtitle

Video Plenary Session I
Fatih Aslan

Keywords

epiphrenic diverticulum

spastic achalasia

peroral endoscopic myotomy

endoscopic diverticulectomy

esophageal motility disorders