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

Video Transcription

Video Summary

The video presents a case of an 87-year-old male with esophageal epiphrenic diverticulum, treated using a per-oral endoscopic myotomy (POEM). The patient suffered from dysphagia, regurgitation, and significant weight loss. POEM, a minimally invasive procedure, was used to correct an esophagogastric junction outflow obstruction. Post-treatment, the patient's symptoms improved and his barium swallow test showed significant improvement. This case supports POEM as a viable first-line treatment for symptomatic esophageal diverticulum, especially in elderly patients with multiple comorbidities, providing a safer alternative to traditional surgery.

Asset Subtitle

Yassmin Hegazy

Meta Tag

Concept Epiphrenic Esophageal Diverticulum

Concept Esophagogastric Junction Outflow Obstruction

Concept Peroral Endoscopic Myotomy

Concept Esophageal Motility Pattern

Concept Esophageal Outflow Obstruction

Keywords

esophageal diverticulum

per-oral endoscopic myotomy

dysphagia

minimally invasive

elderly patients

Epiphrenic Esophageal Diverticulum

Esophagogastric Junction Outflow Obstruction

Peroral Endoscopic Myotomy

Esophageal Motility Pattern

Esophageal Outflow Obstruction