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Volume 151, Issue 6, Pages (December 2016)

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Presentation on theme: "Volume 151, Issue 6, Pages (December 2016)"— Presentation transcript:

1 Volume 151, Issue 6, Pages 1071-1074 (December 2016)
Submucosal Tunneling Endoscopic Septum Division: A Novel Technique for Treating Zenker's Diverticulum  Quan-Lin Li, Wei-Feng Chen, Xiao-Cen Zhang, Ming-Yan Cai, Yi-Qun Zhang, Jian-Wei Hu, Meng-Jiang He, Li-Qing Yao, Ping-Hong Zhou, Mei-Dong Xu  Gastroenterology  Volume 151, Issue 6, Pages (December 2016) DOI: /j.gastro Copyright © 2016 AGA Institute Terms and Conditions

2 Figure 1 The submucosal tunneling endoscopic septum division (STESD) technique. (A) A Zenker's diverticulum (black arrow). (B) Submucosal injection and mucosal incision toward the submucosal space. (C) Creation of the submucosal tunnel and clear exposure of the muscle fibers of septum inside the tunnel. (D) Septum division started inside the tunnel. (E) Complete myotomy beyond the bottom of the diverticulum. (F) Closure of mucosal entry. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2016 AGA Institute Terms and Conditions

3 Figure 2 Submucosal tunneling endoscopic septum division (STESD) for the treatment of Zenker's diverticulum in a 45-year-old woman. (A) Visualization of a Zenker's diverticulum under barium swallow (black arrow). (B) A Zenker's diverticulum 18 cm from the incisors (black arrow). (C) Submucosal injection and mucosal incision 3 cm proximal to the diverticular septum. (D) Clear exposure of the muscle fibers of septum in the submucosal tunnel. (E) Septum division under direct endoscopic view. (F) Completion of myotomy. (G) Closure of the tunnel entry. (H, I) A completely incised diverticulum at 2-month follow-up esophagogastroduodenoscopy and barium swallow evaluations. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2016 AGA Institute Terms and Conditions


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