Peroral endoscopic myotomy with diverticulotomy using a double tunnel technique: finding your way to an elusive lower esophageal sphincter in spastic achalasia and epiphrenic diverticulum

Post written by Maham Hayat, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our case is that of an 86-year-old woman with a history of achalasia and symptomatic epiphrenic diverticulum (ED) who was referred for peroral endoscopic myotomy (POEM) with simultaneous diverticulotomy. Endoscopy revealed a large ED and an …

Continue reading Peroral endoscopic myotomy with diverticulotomy using a double tunnel technique: finding your way to an elusive lower esophageal sphincter in spastic achalasia and epiphrenic diverticulum

Treatment of an epiphrenic diverticulum

Post written by Vincent Huberty, MD, from the Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. This video case shows the treatment of an epiphrenic diverticulum with a new suturing and cutting technique. The treatment is done in 2 phases. First we placed suture anchors between the bottom …

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Management of a large symptomatic epiphrenic diverticulum

Alan H. Tieu, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, The Johns Hopkins University School of Medicine, Baltimore, Maryland presents this video case. Therapy for symptomatic epiphrenic diverticulum typically involves surgical myomectomy or diverticulectomy with high morbidity. We demonstrate a purely endoscopic technique for the management of a large symptomatic epiphrenic …

Continue reading Management of a large symptomatic epiphrenic diverticulum