scholarly journals Simultaneous Examination of Eosinophil Infiltration in Esophageal Mucosa and Muscle in Patients with Achalasia: Direct Biopsy of the Esophageal Muscle at Per-oral Endoscopic Myotomy

Author(s):  
Huimin Chen ◽  
Lucie F. Calderon ◽  
Rushikesh Shah ◽  
Wei Zheng ◽  
Liang Xia ◽  
...  
2020 ◽  
Vol 33 (Supplement_1) ◽  
Author(s):  
Z Boucher ◽  
C Ducoin ◽  
V Velanovich

Abstract   Killian-Jameson Diverticulum (KGD) is similar to Zenker's diverticulum(ZD) in respect to underlying pathology of protrusion of esophageal mucosa and vague foregut symptoms including dysphagia. However, KGD is distinctly different from ZD due to location of diverticulum, incidence, and preferred surgical approach. Methods We present a case of a patient who had previously undergone a transcervical diverticulectomy for JKD. He initially had symptomatic relief but eight months later developed a recurrence of his diverticulum with dysphagia. A per-oral endoscopic myotomy (POEM) was then performed. A video of this endoscopic intervention can be seen in this submission, along with appropriate commentary. Results The patient had resolution of his dysphagia and he recovered without complication. Conclusion This novel approach to recurrent Killian-Jameson Diverticulum after the more standard open transcervical approach should be considered for this challenging clinical scenario. The basic principles of an endoscopic myotomy can be applied similarly to such a diverticulum. Video https://www.dropbox.com/s/dlne8d08tp3rskb/KJ%20Diverticula%203%20min%20Edit%20%28edited%20-%20WeVideo%29.mp4?dl=0


Author(s):  
Eitan Podgaetz ◽  
Vani Konda

Abstract Objective With the advent of minimally invasive surgery, incisionless surgery, and third-space endoscopy, the treatment for Zenker's diverticulum has also moved toward less invasive techniques Methods New incisionless per oral techniques can be applied for cricopharyngeal myotomy in Zenker's diverticulum. Results Five patients underwent Zenker's diverticulum per oral endoscopic myotomy (Z-POEM) without complications, minimal discomfort, and narcotic consumption, with complete resolution of their symptoms by history and Eckardt scores. Conclusions Z-POEM is performed entirely endoscopically with very little associated pain or complication rates, with short-term follow-up having excellent functional and symptomatic results.


Dysphagia ◽  
2021 ◽  
Author(s):  
Jayanta Samanta ◽  
Harshal S. Mandavdhare ◽  
Naveen Kumar ◽  
Praveen Kumar-M ◽  
Anudeep Jafra ◽  
...  

2014 ◽  
Vol 28 (4) ◽  
pp. 1333-1333 ◽  
Author(s):  
Ahmed Sharata ◽  
Ashwin A. Kurian ◽  
Christy M. Dunst ◽  
Neil H. Bhayani ◽  
Kevin M. Reavis ◽  
...  

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