Role of peroral endoscopic myotomy (POEM) in the management of esophageal diverticula

Bogdan P. Miutescu, Sarah Khan, Shruti Mony, Mouen A. Khashab

Research output: Contribution to journalArticlepeer-review

Abstract

Esophageal diverticula are uncommon; however, when present, they can cause symptoms of dysphagia, regurgitation, and chest pain. Based on location and pathophysiological characteristics, they are classified as pulsion- and traction-type diverticula. In the past, the open surgical approach was the only treatment available; however, in the past few decades, transoral incisionless approaches in the form of rigid and flexible endoscopy have gained popularity. Diverticular peroral endoscopic myotomy has emerged as an alternative treatment option. In this paper, we reviewed the role of peroral endoscopic myotomy as a treatment option for different types of esophageal diverticula. Although a safe and effective procedure, this novel submucosal tunneling technique for the treatment of esophageal diverticula requires further validation, and head-to-head comparisons between the different approaches for the treatment of esophageal diverticula are warranted.

Original languageEnglish (US)
Pages (from-to)646-651
Number of pages6
JournalClinical Endoscopy
Volume53
Issue number6
DOIs
StatePublished - Nov 26 2020

Keywords

  • Diverticulum
  • Endoscopy
  • Esophagus
  • Myotomy

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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