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Surgical Endoscopy
Published in: Surgical Endoscopy 5/2021

01-05-2021 | Motility Disorder

Peroral endoscopic myotomy for the treatment of esophageal diverticulum: an experience in China

Authors: Xianhui Zeng, Shuai Bai, Yuhang Zhang, Liansong Ye, Xianglei Yuan, Bing Hu

Published in: Surgical Endoscopy | Issue 5/2021

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Abstract

Background

With the development of minimally invasive endoscopic approaches for the esophagus in recent years, peroral endoscopic myotomy (POEM) in the treatment of esophageal diverticulum has been described recently in some reports due to its successful outcomes. The aim of this study is to report our experience with the use of diverticular POEM (D-POEM) technique in the management of esophageal diverticulum.

Methods

This retrospective study included consecutive patients with symptomatic esophageal diverticulum who visited our endoscopy center between April 2014 and January 2019. D-POEM was performed based on the principles of submucosal endoscopy. A new symptomatic scoring system was introduced to evaluate the severity of diverticular symptoms.

Results

A total of 10 patients with esophageal diverticulum (Zenker’s 2, mid-esophagus 5, and epiphrenic 3) were included. The overall technical success rate of D-POEM was 100%, with a mean procedure time of 38.9 ± 20.5 (range 16–70) min. No serious complications occurred. Clinical improvement was achieved in 90% (9/10) of patients. The symptomatic score was significantly decreased from 2.5 (IQR 2.00–3.25) to 1.0 (IQR 0–1.25) (P = 0.007) during a median follow-up period of 11.0 (IQR 10.25–17.25) months.

Conclusion

These findings suggested complete septotomy by D-POEM. Our preliminary data and experience put forwarded D-POEM as a safe and effective technique for esophageal diverticulum.
Appendix
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Metadata
Title
Peroral endoscopic myotomy for the treatment of esophageal diverticulum: an experience in China
Authors
Xianhui Zeng
Shuai Bai
Yuhang Zhang
Liansong Ye
Xianglei Yuan
Bing Hu
Publication date
01-05-2021
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 5/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07593-6

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