Endoscopy Live (virtual) | October 2021-Live Procedure 5: Johns Hopkins

Video Transcription

Video Summary

In this video, a case of a 76-year-old male with a history of progressive solid food dysphagia is presented. The patient had regurgitation and undigested food in his mouth upon waking up. An endoscopy report showed a narrow stricture that could not be traversed. A barium esophagogram revealed a large diverticulum in the cervix. The plan was to perform an upper endoscopy with a Z-pulling procedure. During the procedure, the doctor used an Olympus gastroscope with a soft cap to examine the diverticulum. The diverticulum was found to be ulcerated at the bottom, possibly due to stasis or medication. The doctor used an injection and incision technique to create a tunnel over the septum and performed a myotomy to treat the diverticulum. The doctor also used clips to close the mucosal incisions. The procedure was successful and the doctor expressed satisfaction with the closure.

Asset Subtitle

Mouen Khashab, MD

Keywords

diverticulum

endoscopy

dysphagia

myotomy

ulcerated