Submucosal tunneling endoscopic myotomy of esophageal epiphrenic diverticulum
نویسندگان
چکیده
منابع مشابه
Incomplete 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 کاملEpiphrenic 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 کاملA superficial esophageal cancer in an epiphrenic diverticulum treated by endoscopic submucosal dissection
BACKGROUND We report a unique case of a superficial esophageal cancer arising in a single diverticulum, diagnosed with magnifying image-enhanced endoscopy and then successfully treated by endoscopic submucosal dissection (ESD). CASE PRESENTATION A 66-year-old man with alcohol-related liver injury visited our hospital for endoscopy for investigation of varix. Esophagogastroduodenoscopy showed ...
متن کاملSubmucosal tunneling endoscopic septum division for Zenker's diverticulum: a reproducible procedure for endoscopists who perform peroral endoscopic myotomy.
Zenker’s diverticulum is a rare disease occurring in less than 0.5% of the global population. Currently, the diverticuloscope-assisted diverticulotomy represents the traditional procedure, the diverticuloscope enabling better exposure of the muscular fibers. Although effective and safer than surgery, this technique could be complicated by perforation, which is reported in as many as 6.5 % of pa...
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ژورنال
عنوان ژورنال: Endoscopy
سال: 2017
ISSN: 0013-726X,1438-8812
DOI: 10.1055/s-0043-121567