Tag: Diverticulum

Endoscopic diverticulectomy and myotomy for epiphrenic diverticulum

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Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This case involved a 53-year-old woman who presented with dysphagia, chest pain, cough, and vomiting. Diagnostic evaluation revealed a 9-cm epiphrenic diverticulum along with an underlying esophageal motility disorder. We successfully treated this rare and complex condition through …

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Successful ESD for a tumor located completely within a colonic diverticulum after inversion of the diverticulum using a traction device

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Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We presented endoscopic submucosal dissection (ESD) for a tumor located completely within a colonic diverticulum using a traction device in the video. The lesion was a flat-elevated tumor completely located within a colonic diverticulum in the …

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Endoscopic treatment of Killian-Jamieson diverticulum using submucosal tunneling diverticulotomy technique

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Post written by Ali Zakaria, MD, from the Division of Gastroenterology, Ascension Providence Hospital, Southfield, Michigan. We present a case of an 82-year-old female patient with progressively worsening dysphagia to solid food, regurgitation, globus sensation, and halitosis. Barium esophagram revealed a 40-mm anterolateral protrusion at the level of the proximal cervical esophagus, consistent with KJD. …

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Peroral endoscopic myotomy with diverticulum resection

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Post written by Yohei Nishikawa, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Showa University, Tokyo, Japan. For esophageal diverticulum with symptoms, thoracoscopic or laparoscopic surgery is usually performed. We reported a case of an endoscopic esophageal diverticulum resection by applying the peroral endoscopic myotomy (POEM) and POEM + Fundoplication (POEM-F) techniques, …

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Greater-curvature POEM with diverticuloseptotomy for the treatment of achalasia in a patient with a large epiphrenic diverticulum

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Post written by Ryan Law, DO, from the Department of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. We present a 93-year-old man with classic symptoms and manometric findings consistent with type III achalasia with an associated large epiphrenic esophageal diverticulum. He underwent an anterior POEM at an outside institution. He presented to …

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Management of a windsock diverticulum by the use of novel submucosal dissection scissors

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Post written by Ryan Law, DO, from the Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA. A 41-year-old woman presented with a 2-year history of nausea, post-prandial pain, dysphagia to solid food, and intermittent regurgitation. During her evaluation, she was found to have a 4-cm long outpouching suggestive of an epiphrenic diverticulum as …

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Per-oral endoscopic myotomy with endoscopic septum division

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Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we describe per oral endoscopic myotomy (POEM) in a case of achalasia with large diverticulum at the lower end of esophagus. POEM was performed in the standard fashion. In addition, the septum between diverticulum and submucosal …

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