A case report of achalasia and large epiphrenic diverticulum treated by peroral endoscopic myotomy combined with diverticuloseptotomy

The combination of esophageal achalasia with epiphrenic diverticulum is extremely rare and mostly treated surgically. Several cases successful endoscopic treatment were presented in the literature, but strategy has not yet been defined. Aim. To present a case as giant successfully endoscopically. Case report. We to your attention report 75-year-old woman complete dysphagia, significant weight loss, who was diagnosed symptomatic secondary achalasia. Upper gastrointestinal endoscopy showed signs severe fibrosis submucosal layer diverticulum. She received peroral myotomy combined diverticuloseptotomy made from same tunnel. regression symptoms 10 2 points according Eckardt symptom score clinically success. Conclusions. one-tunnel technique could be an effective miniinvasive option for large diverticula associated