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

Keywords

esophageal atresia

tracheoesophageal fistula

diverticular tunneling stricturotomy

minimally invasive procedure

pediatric endoscopy