Initial experience in target peroral endoscopic submucosal myotomy combined with septotomy for epiphrenic diverticulum

The epiphrenic esophageal diverticulum is a rare non-malignant condition that commonly associated with motility disorders. It would normally be treated surgically, but the advancement of endoscopy techniques, peroral endoscopic myotomy septotomy (D-POEM) has shown its benefits in coping symptoms. We present case 71-year-old woman increasing symptoms dysphagia, weight loss and imaging data showing large diverticulum. her using combined diverticular septum. procedure showed excellent results reducing amount contrast materials retained it, improving quality life patient, weight. There were minimal adverse events no perforations or severe effects occurred. D-POEM new rapidly evolving proving to safe effective method treating