UGI Esophagus-PER-ORAL ENDOSCOPIC MYOTOMY FOR RECURRENT ZENKER'S DIVERTICULUM FOLLOWING ENDOSCOPIC MYOTOMY

PER-ORAL ENDOSCOPIC MYOTOMY FOR RECURRENT ZENKER'S DIVERTICULUM FOLLOWING ENDOSCOPIC MYOTOMY

Video Transcription

Video Summary

The video discusses a case of a 49-year-old male with a Zahnker's diverticulum who initially underwent a rigid endoscopy but the procedure was aborted. The patient then had a flexible endoscopic myotomy performed, which provided immediate symptom relief. However, two months later, the patient experienced recurrent dysphagia and a repeat esophageogram revealed persistent Zahnker's diverticulum. A Z-POEM procedure was then performed, where a mucosotomy was made along the septum and subsequent submucosal dissection was performed to obliterate the fibers. The video highlights that flexible endoscopic myotomy and Z-POEM can be effective interventions for Zahnker's diverticulum, especially in cases of failed initial procedures.

Asset Subtitle

Honorable Mention

Keywords

Zahnker's diverticulum

rigid endoscopy

flexible endoscopic myotomy

recurrent dysphagia

Z-POEM procedure