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

Meta Tag

Concept Epiphrenic Esophageal Diverticulum

Concept Distal Esophageal Motility Disorder

Concept Type III Achalasia

Concept Peroral Endoscopic Myotomy

Concept Endoscopic Diverticulectomy

Keywords

epiphrenic diverticulum

spastic achalasia

peroral endoscopic myotomy

endoscopic diverticulectomy

esophageal motility disorders

Epiphrenic Esophageal Diverticulum

Distal Esophageal Motility Disorder

Type III Achalasia

Peroral Endoscopic Myotomy

Endoscopic Diverticulectomy