Role of Peroral Endoscopic Myotomy (POEM) in the Management of Esophageal Diverticula
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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, theopen surgical approach was the only treatment available; however, in the past few decades, transoral incisionless approaches in theform of rigid and flexible endoscopy have gained popularity. Diverticular peroral endoscopic myotomy has emerged as an alternativetreatment option. In this paper, we reviewed the role of peroral endoscopic myotomy as a treatment option for different types ofesophageal diverticula. Although a safe and effective procedure, this novel submucosal tunneling technique for the treatment ofesophageal diverticula requires further validation, and head-to-head comparisons between the different approaches for the treatmentof esophageal diverticula are warranted.
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, theopen surgical approach was the only treatment available; however, in the past few decades, transoral incisionless approaches in theform of rigid and flexible endoscopy have gained popularity. Diverticular peroral endoscopic myotomy has emerged as an alternativetreatment option. In this paper, we reviewed the role of peroral endoscopic myotomy as a treatment option for different types ofesophageal diverticula. Although a safe and effective procedure, this novel submucosal tunneling technique for the treatment ofesophageal diverticula requires further validation, and head-to-head comparisons between the different approaches for the treatmentof esophageal diverticula are warranted.
참고문헌 (30)
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