Post written by Fatih Aslan, MD, from Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. The procedure was performed with the patient under general anesthesia using a standard gastroscope. A submucosal tunneling approach was initiated proximal to the diverticulum. The surrounding tissue was carefully dissected, allowing the diverticulum to be mobilized into the lumen and subsequently inverted. After …
Tag: epiphrenic diverticulum
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 …
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 …
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 …
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