ASGE DDW Videos from Around the World | 2025-PERORAL DIRECT DIVERTICULOTOMY A SALVAGE POEM TECHNIQUE FOR PATIENTS WITH BLOW OUT MYOTOMY

PERORAL DIRECT DIVERTICULOTOMY A SALVAGE POEM TECHNIQUE FOR PATIENTS WITH BLOW OUT MYOTOMY

Video Transcription

Video Summary

A 49-year-old man with type 1 achalasia experienced complications after a previous POEM procedure. He was referred for a novel salvage technique called peroral direct diverticulotomy, similar to zPOEM, to address a blowout myotomy. This approach targets the diverticulum's center, enhancing food transit and resolving dysphagia. The procedure, including myotomy and suture removal, was successful, with improved barium emptying and symptom resolution at 6 months. As more low-volume centers perform POEM, failed myotomies may increase, making this technique a valuable tool for treating blowout diverticula.

Asset Subtitle

Stavros Stavropoulos

Meta Tag

Concept Blowout Diverticulum

Concept Failed Myotomy

Concept Diverticulotomy

Concept Achalasia

Concept Per-oral esophageal myotomy

Keywords

peroral direct diverticulotomy

achalasia

blowout myotomy

dysphagia

POEM

Blowout Diverticulum

Failed Myotomy

Diverticulotomy

Achalasia

Per-oral esophageal myotomy