Endoscopy 2020; 52(S 01): S101-S102
DOI: 10.1055/s-0040-1704311
ESGE Days 2020 oral presentations
Friday, April 24, 2020 14:30 – 16:30 Exploring the underworld: Upper GIsubmucosal therapy Wicklow Meeting Room 1
© Georg Thieme Verlag KG Stuttgart · New York

SUBMUCOSAL TUNNELING ENDOSCOPIC SEPTUM DIVISION OF A ZENKER DIVERTICULUM(Z-POEM)

K Delis
1   Metropolitan Hospital, Gastroenterology Department, Endoscopy Unit, Piraeus, Neo Faliro, Greece
,
I Robotis
1   Metropolitan Hospital, Gastroenterology Department, Endoscopy Unit, Piraeus, Neo Faliro, Greece
,
E Sachitzi
1   Metropolitan Hospital, Gastroenterology Department, Endoscopy Unit, Piraeus, Neo Faliro, Greece
,
S Labrinakos
1   Metropolitan Hospital, Gastroenterology Department, Endoscopy Unit, Piraeus, Neo Faliro, Greece
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Publikationsverlauf

Publikationsdatum:
23. April 2020 (online)

 

Aim Endoscopic treatment of a 73 years old female with a symptomatic 3.5 cm Zenker’s diverticulum (ZD).

Method Submucosal tunneling endoscopic septum division (STESD), inspired by POEM technique was performed. Through a longitudinal incision performed on a submucosal bleb 2.5 cm above the ZD septum, a submucosal tunnel was created towards the septum and extending underneath, exposed cricopharengeal muscle (CM) on both sides. Myotomy of the CM was followed up to the bottom of the diverticulum. Clips were used to close the initial incision.

Results-Conclusions Treatment was successful with no complications. STESD is effective and safe therapy for ZD.