fonte: WEO<\/p>\n
Autores:\u00a0Oscar V\u00edctor Hern\u00e1ndez Mondrag\u00f3n; Michel Omar Sol\u00f3rzano Pineda; Juan Manuel Blancas Valencia<\/p>\n Zenker’s diverticulum is characterized by dysphagia, weight loss and bronchoaspiration.1<\/a>\u00a0Open surgery has been the cornerstone of treatment with good response but recurrence of up to 35%.2<\/a>\u00a0Rigid endoscopic diverticulotomy has similar results, but with conversion to open surgery of up to 30%.3<\/a>\u00a0Flexible endoscopic diverticulotomy is safe, effective and can be carried out in an endoscopic setting, but multiple sessions are needed because of incomplete cutting of the septum.4<\/a>,\u00a05<\/a>\u00a0Z\u2010POEM is a new procedure in which a total septum myotomy throughout a submucosal tunnel can be carried out. We describe this technique in an 85\u00a0year\u2010old\u2010man with large Zenker\u2032s diverticulum.<\/p>\n<\/section>\n Technique: First, creation of a submucosal bleb 3\u00a0cm above the septum with a 10\u2010mm longitudinal incision. Second, submucosal tunnel was created up to the diverticular septum. Third, total myotomy of the septum and fourth, a mucosal closure was carried out with five clips. Characteristics of the procedure were documented.<\/p>\n<\/section>\n Authors declare no conflicts of interest for this article.<\/p>\n<\/section>\n <\/p>\n <\/p>\n dsadsadsdsa<\/p>\nBrief Explanation<\/h2>\n