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

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

Keywords

esophageal diverticulum

per-oral endoscopic myotomy

dysphagia

minimally invasive

elderly patients