ASGE DDW Videos from Around the World | 2025-PERORAL ENDOSCOPIC TUNNELING STRICTUROTOMY FOR DIVERTICULUM TREATMENT (D-POETS) NOVEL PROCEDURE FOR PEDIATRIC ESOPHAGEAL ANASTOMOTIC DIVERTICULA

PERORAL ENDOSCOPIC TUNNELING STRICTUROTOMY FOR DIVERTICULUM TREATMENT (D-POETS) NOVEL PROCEDURE FOR PEDIATRIC ESOPHAGEAL ANASTOMOTIC DIVERTICULA

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Video Transcription

Video Summary

This case involves an 8-year-old with esophageal atresia and tracheoesophageal fistula, complicated by stricture and diverticulum post-surgery. Standard treatments like balloon dilation often fail, necessitating innovative approaches. The proposed solution is a minimally invasive depoet (diverticular tunneling stricturotomy) procedure, an adaptation of POEM. This endoscopic method involves creating a submucosal tunnel to address the stricture and diverticulum. The procedure was successfully completed for the patient without complications, showing potential as an alternative to open surgery. Post-operatively, the patient's symptoms improved, highlighting the procedure's effectiveness in the pediatric population.

Asset Subtitle

Taylor Kratochvil

Meta Tag

Concept Benign Colorectal Anastomotic Stricture

Concept Endoscopic Tunnel Stricturotomy

Concept Submucosal Tunneling

Concept Scar Band Dissection

Concept Esophageal Atresia

Keywords

esophageal atresia

tracheoesophageal fistula

diverticular tunneling stricturotomy

minimally invasive procedure

pediatric endoscopy

Benign Colorectal Anastomotic Stricture

Endoscopic Tunnel Stricturotomy

Submucosal Tunneling

Scar Band Dissection

Esophageal Atresia