Peroral endoscopic myotomy in a case of recurrent epiphrenic diverticulum after surgery
نویسندگان
چکیده
منابع مشابه
Epiphrenic diverticulum of the esophagus after peroral endoscopic myotomy.
A 34-year-old man was referred to our hospital because of chest pain and dysphagia that had lasted for 5 years. Endoscopy showed a tight esophagogastric junction (●" Fig.1). On high resolution manometry (Star Medical, Tokyo, Japan), the mean lower esophageal sphincter (LES) pressure and integrated relaxation pressure were 44.3 and 43.3mmHg, respectively (●" Fig.2). Type II achalasia was diagnos...
متن کاملSalvage peroral endoscopic myotomy for esophageal diverticulum.
Esophageal diverticulum often causes secondary dysmotility. If a diverticulum associated with a functional disorder is growing and exacerbating symptoms, surgical treatment is usually indicated [1,2]. Peroral endoscopic myotomy (POEM) was introduced by Inoue et al. in 2010 as a novel treatment technique for achalasia [3]. Here, we report our clinical experience of salvage POEM for esophageal di...
متن کاملGastric Peroral Endoscopic Myotomy
Gastroparesis (GP) is a syndrome characterized by delayed gastric emptying in the absence of mechanical obstruction of the stomach or proximal small bowel. Currently available dietary and medical therapies are limited and have suboptimal efficacy. Pylorus-directed therapies have showed promising results. Gastric peroral endoscopic myotomy (G-POEM) has been reported for the treatment of GP refra...
متن کاملIncomplete esophageal myotomy and early recurrence of an epiphrenic diverticulum.
The established management of epiphrenic diverticula combines diverticulectomy with myotomy of the distal esophagus including the lower esophageal sphincter. We report a patient with prompt recurrence of an epiphrenic diverticulum after laparoscopic transhiatal diverticulectomy associated with esophagomyotomy and partial posterior fundoplication due to an incomplete myotomy.
متن کاملPeroral Endoscopic Myotomy: Establishing a New Program
Achalasia is an esophageal motility disorder characterized by incomplete relaxation of the lower esophageal sphincter (LES) and aperistalsis of the esophageal body. Treatment of achalasia is aimed at decreasing the resting pressure in the LES. Peroral endoscopic myotomy (POEM), derived from natural orifice transluminal endoscopic surgery (NOTES) and advances in endoscopic submucosal dissection ...
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ژورنال
عنوان ژورنال: Endoscopy
سال: 2020
ISSN: 0013-726X,1438-8812
DOI: 10.1055/a-1201-2725