Endoscopy 2024; 56(S 02): S314
DOI: 10.1055/s-0044-1783455
Abstracts | ESGE Days 2024
ePoster

Flexible Endoscopic Septo-Myotomy of a Pharyngesophageal Diverticulum after Anterior Cervical Discectomy and Fusion

E. Fasulo
1   Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Scientific Institute, Milan, Italy
,
F. V. Mandarino
1   Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Scientific Institute, Milan, Italy
2   Vita-Salute San Raffaele University, Milan, Italy
,
A. Barchi
1   Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Scientific Institute, Milan, Italy
,
G. Dell'Anna
1   Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Scientific Institute, Milan, Italy
3   Gastroenterology and Gastrointestinal Endoscopy, IRCCS Policlinico San Donato, Milan, Italy
,
S. Danese
1   Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Scientific Institute, Milan, Italy
2   Vita-Salute San Raffaele University, Milan, Italy
,
F. Azzolini
1   Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Scientific Institute, Milan, Italy
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Abstract Text A 77-year-old female developed severe dysphagia after Anterior Cervical Discectomy and Fusion (ACDF) [1]. Esophagogastroduodenoscopy and CT scan revealed a 3x2cm right posterior Pharyngoesophageal Diverticulum (PED) originating at the hardware site.

PED septo-myotomy using an L-shaped knife, was alternated with progressive Savary bougie dilations (up to 15mm). Submucosal injection was performed to guide myotomy, with poor results due to significant fibrosis. Finally, through-the-scope clips were placed at the base of the myotomy.

At 6-month follow-up, she reported no dysphagia and was maintaining a solid food diet.

Flexible endoscopic septo-myotomy could represent a feasible, effective, and safe treatment for PED after ACDF.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/4130b2ac-99fa-409d-806b-2fe956723a20/Uploads/13821_PED_ESGE(1).mp4


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Conflicts of interest

S Danese has served as a speaker, consultant and advisory board member for Schering-Plough, AbbVie, Actelion, Alphawasserman, AstraZeneca, Cellerix, Cosmo Pharmaceuticals, Ferring, Genentech, Grunenthal, Johnson and Johnson, Millenium Takeda, MSD, Nikkiso Europe GmbH, Novo Nordisk, Nycomed, Pfizer, Pharmacosmos, UCB Pharma and Vifor.

  • References

  • 1 Park J-H, Lee S-H, Kim E-S. et al. Analysis of postoperative dysphagia after anterior cervical decompression and fusion. Br J Neurosurg 2020; 34: 457-462
    CrossrefPubMedSearch in Google Scholar

Publication History

Article published online:
15 April 2024

© 2024. European Society of Gastrointestinal Endoscopy. All rights reserved.

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  • References

  • 1 Park J-H, Lee S-H, Kim E-S. et al. Analysis of postoperative dysphagia after anterior cervical decompression and fusion. Br J Neurosurg 2020; 34: 457-462
    CrossrefPubMedSearch in Google Scholar