GI Now for Group Practice-ENDOSCOPIC TRANSESOPHAGEAL RETROGRADE DRAINAGE TANDEM WITH ENDOSCOPIC CLOSURE FOR MANAGEMENT OF ESOPHAGEAL LEAK AFTER PERORAL ENDOSCOPIC MYOTOMY FOR ZENKER’S DIVERTICULUM

ENDOSCOPIC TRANSESOPHAGEAL RETROGRADE DRAINAGE TANDEM WITH ENDOSCOPIC CLOSURE FOR MANAGEMENT OF ESOPHAGEAL LEAK AFTER PERORAL ENDOSCOPIC MYOTOMY FOR ZENKER’S DIVERTICULUM

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Video Transcription

Video Summary

The video transcript describes the case of an 81-year-old male with Zenker's diverticulum and cricopharyngeal muscle hypertrophy. The patient underwent a procedure called Z poem, which involved myotomy and ligatures to close the defect. However, the patient developed a leak and subsequent complications. Multiple attempts to seal the leak with stents were unsuccessful. Due to the patient's age and comorbidities, surgical intervention was not an option. Instead, the medical team performed an endoscopic guided direct transesophageal puncture and retrograde drain placement to facilitate drainage and healing of the leak. The procedure involved various instruments and techniques, ultimately resulting in the resolution of the leak and the patient's discharge from the hospital. The technique described in the video represents a minimally invasive alternative to surgery for managing large mediastinal esophageal leaks in the cervical esophagus. No credits were mentioned in the transcript.

Asset Subtitle

Best of the Best
Authors: Sonmoon Mohapatra, Norio Fukami

Keywords

Zenker's diverticulum

cricopharyngeal muscle hypertrophy

Z poem

endoscopic guided direct transesophageal puncture

retrograde drain placement