Filippo Filicori, MD, Christy M Dunst, MD, Ahmed M Zihni, MD, Walaa F Abdelmoaty, MD, Steven R Demeester, MD, Lee L Swanstrom, MD. Portland Providence Medical Center
A 57 year old female presented 3 years after POEM with recurrent dysphagia and aspirations. Patient was found to have a large distal esophageal diverticulum. Manometry showed persistently high LES pressures. Upper GI revealed a large esophageal diverticulum just distal to the clips which were applied in the first POEM at the edge of the myotomt. The diverticulum was dissected off laparoscopically and stapled. A Dor fundoplication was done. In this video we provide an overview of the key manometric and radiologic features of esophageal diverticula after POEM, as well as treatment strategies and possible therapeutic options. Intraoperative tips to avoid esophageal diverticula formation are also discussed.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88510
Program Number: V040
Presentation Session: Foregut Session
Presentation Type: Video