Endoscopy 2022; 54(S 01): S7
DOI: 10.1055/s-0042-1744565
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
09:30–10:30 Thursday, 28 April 2022 Club A. Cutting the (muscular) edge: peroral endoscopic myotomy

POEM, SEPTOTOMY AND RESTORATION OF ESOPHAGEAL LUMEN WITH OTSC. CLOSING THE CIRCLE OF ESOPHAGEAL DIVERTICULA MANAGEMENT

Authors

  • E. Albéniz

    1   Hospital Universitario de Navarra (HUN); Navarrabiomed; Universidad Pública de Navarra (UPNA); IdiSNA, Gastroenterology, Pamplona, Spain

  • F. Estremera-Arévalo

    1   Hospital Universitario de Navarra (HUN); Navarrabiomed; Universidad Pública de Navarra (UPNA); IdiSNA, Gastroenterology, Pamplona, Spain

  • M. Gómez Alonso

    1   Hospital Universitario de Navarra (HUN); Navarrabiomed; Universidad Pública de Navarra (UPNA); IdiSNA, Gastroenterology, Pamplona, Spain

  • P.J. Rosón

    2   Hospital Quirón Salud Málaga, Gastroenterology, Málaga, Spain

  • F.J. Gallego Rojo

    3   Hospital de Poniente, Gastroenterology, El Ejido, Almería, Spain

  • J. Vila

    1   Hospital Universitario de Navarra (HUN); Navarrabiomed; Universidad Pública de Navarra (UPNA); IdiSNA, Gastroenterology, Pamplona, Spain

  • S. Montori

    4   Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA, Gastrointestinal Endoscopy Research Unit, Pamplona, Spain
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A patient with type III achalasia with three diverticula was treated by POEM. An uninterrupted posterior myotomy was performed to ensure complete dissection of the spastic segment. The myotomy was also driven to dissect the diverticula septum. The two bigger diverticula pouches were everted with over-scope clips (OTSC). Early barium swallow demonstrated restored esophageal anatomy with normal contrast flow. The patient remains asymptomatic on a full texture diet. A multimodal one-session endoscopic procedure treating both the underlying motility disorder and the diverticula, with restoration of the lumen mechanically (OTSC), will lead to better rates of therapeutic success.



Publication History

Article published online:
14 April 2022

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