Volume 156, Issue 8, Pages (June 2019)

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Presentation transcript:

Volume 156, Issue 8, Pages 2134-2135 (June 2019) Zenker’s Diverticulum Per-Oral Endoscopic Myotomy Techniques: Changing Paradigms Olaya I. Brewer Gutierrez, Yervant Ichkhanian, Marco Spadaccini, Kia Vosoughi, Alessandro Repici, Mouen A. Khashab Gastroenterology Volume 156, Issue 8, Pages 2134-2135 (June 2019) DOI: 10.1053/j.gastro.2019.02.045 Copyright © 2019 AGA Institute Terms and Conditions

Figure 1 Standard per-oral endoscopic myotomy (Z-POEM) technique. (A) A ZD (yellow arrow Zenker’s diverticulum; blue arrow septum) is identified. (B) A mucosal bleb is created 2 cm above the septum. (C) A submucosal tunnel is created using spray coagulation and injection of saline/indigo carmine solution via the pump. Once the septum is exposed, the septotomy is performed using an endoscopic submucosal dissection knife with an insulated tip. (C–E) The septotomy is extended until the longitudinal muscle fibers of the esophagus proper are exposed (red arrow). (F) The mucosal incision is closed using through-the-scope clips Gastroenterology 2019 156, 2134-2135DOI: (10.1053/j.gastro.2019.02.045) Copyright © 2019 AGA Institute Terms and Conditions