ASGE DDW Videos from Around the World | 2025-POEM OF A PATIENT WITH ACHALASIA AND ESOPHAGEAL DIVERTICULUM

POEM OF A PATIENT WITH ACHALASIA AND ESOPHAGEAL DIVERTICULUM

Video Transcription

Video Summary

A 55-year-old female with a decade-long history of dysphagia and vomiting was diagnosed with achalasia and esophageal diverticulum. Diagnostic tests, including gastroscopy and esophageal manometry, revealed a dilated esophagus, a narrow ring, and a diverticulum. A peroral endoscopic myotomy (POM) was performed, involving careful incision and myotomy to relieve symptoms. Post-surgery, the patient's symptoms improved, with no esophageal dilation or contrast agent retention observed. This case highlights the effectiveness of POM in treating achalasia with diverticulum by ensuring complete ridge cutting to prevent food retention.

Asset Subtitle

Fangfei Chen

Keywords

achalasia

esophageal diverticulum

peroral endoscopic myotomy

dysphagia

esophageal manometry