Endoscopy 2020; 52(S 01): S168
DOI: 10.1055/s-0040-1704518
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 11:00 – 11:30 Per Oral Endoscopic Myotomy (POEM) ePoster Podium 1
© Georg Thieme Verlag KG Stuttgart · New York

MODIFIED PER ORAL ENDOSCOPIC MYOTOMY FOR ZENKER´S DIVERTICULUM (Z-POEM) WITH MUCOSAL INCISION OVER THE SEPTUM

G Mavrogenis
1   Mediterraneo Hospital, Athens, Greece
,
I Tsevgas
1   Mediterraneo Hospital, Athens, Greece
,
D Zachariadis
1   Mediterraneo Hospital, Athens, Greece
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Aims Video presentation of a modified Z-POEM technique.

    Methods A mucosal incision is created along the edge of the septum using a therapeutic gastroscope. Then a tunnel is performed on both sides of the septum and complete myotomy is performed. Finally, large clips are applied at the mucosal entry.

    Results The technique of direct tunneling over the septum was technically feasible. In particular, it allowed the use of a large caliber endoscope and the deployment of large clips.

    Conclusions Z-POEM with direct mucosotomy over the septum, consists in an alternative approach for the treatment of Zenker’s diverticulum.


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