UGI Esophagus-ENDOSCOPIC SUTURING FOR REPAIR OF AN OBSTRUCTING ZENKER'S DIVERTICULUM USING A BIDIRECTIONAL ENDOSCOPIC APPROACH FOR LUMEN DELINEATION

ENDOSCOPIC SUTURING FOR REPAIR OF AN OBSTRUCTING ZENKER'S DIVERTICULUM USING A BIDIRECTIONAL ENDOSCOPIC APPROACH FOR LUMEN DELINEATION

Back to course

Video Transcription

Video Summary

In this video, Dr. Villa discusses a case of a 69-year-old male with dysphagia caused by an obstructing Zanker's diverticulum. The patient had a history of heroin abuse and respiratory failure due to a heroin overdose and COVID pneumonia. Computed tomography and operandoscopy were performed to evaluate the dysphagia, revealing a blind esophageal pouch without any visible esophageal lumen. Retrograde endoscopy was pursued through the gastrocutaneous fistula, and endoscopic suturing was used to repair the diverticulum. The patient was discharged with dietary restrictions and later underwent a repeat upper endoscopy, which showed a patent esophageal lumen. The patient is now tolerating solid food without any dysphagia or regurgitation. This video highlights the promise of endoscopic suturing techniques for the treatment of various disorders. Dr. Villa discloses his consultantships for Medtronic and Olympus.

Asset Subtitle

Honorable Mention

Keywords

dysphagia

Zanker's diverticulum

heroin abuse

respiratory failure

endoscopic suturing