Cargando…
Per‐oral endoscopic myotomy as treatment for Killian–Jamieson diverticulum
Killian–Jamieson diverticulum (KJD) is a rare type of esophageal diverticulum less commonly encountered compared with Zenker's diverticulum (ZD). Endoscopic approach for these diverticula has been rapidly evolving. Currently, a flexible endoscopic septum division is considered the first‐line tr...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828231/ https://www.ncbi.nlm.nih.gov/pubmed/35310689 http://dx.doi.org/10.1002/deo2.27 |
_version_ | 1784647802472628224 |
---|---|
author | Shimamura, Yuto Fujiyoshi, Mary Raina Angeli Fujiyoshi, Yusuke Nishikawa, Yohei Ono, Masashi Owada, Kaori Ikeda, Haruo Onimaru, Manabu Inoue, Haruhiro |
author_facet | Shimamura, Yuto Fujiyoshi, Mary Raina Angeli Fujiyoshi, Yusuke Nishikawa, Yohei Ono, Masashi Owada, Kaori Ikeda, Haruo Onimaru, Manabu Inoue, Haruhiro |
author_sort | Shimamura, Yuto |
collection | PubMed |
description | Killian–Jamieson diverticulum (KJD) is a rare type of esophageal diverticulum less commonly encountered compared with Zenker's diverticulum (ZD). Endoscopic approach for these diverticula has been rapidly evolving. Currently, a flexible endoscopic septum division is considered the first‐line treatment for symptomatic ZD patients, however reported recurrence rates are over 10% according to recent literature. With the advent of submucosal tunneling technique established by per‐oral endoscopic myotomy for achalasia, it has been applied to treat ZD named as Zenker's diverticulum per‐oral endoscopic myotomy (Z‐POEM) as a minimally invasive treatment. Although there are very few reports utilizing submucosal tunneling approach to KJD, we have opted to perform Z‐POEM in order to safely perform complete dissection of the muscle septum while maintaining mucosal integration. Due to the difficulty of anatomical location of KJD, we created mucosal incision and subsequent submucosal tunnel directly at the level of the septum as opposed to creating a submucosal tunnel few centimeters proximal to the septum as being previously proposed. We report a case in which this technique was successfully performed with complete resolution of dysphagia without any adverse event. This technique permits to perform complete myotomies without the fear of causing perforation. Although larger cohorts are required to assess its safety and efficacy, Z‐POEM to treat KJD seems to be promising. |
format | Online Article Text |
id | pubmed-8828231 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-88282312022-03-17 Per‐oral endoscopic myotomy as treatment for Killian–Jamieson diverticulum Shimamura, Yuto Fujiyoshi, Mary Raina Angeli Fujiyoshi, Yusuke Nishikawa, Yohei Ono, Masashi Owada, Kaori Ikeda, Haruo Onimaru, Manabu Inoue, Haruhiro DEN Open Case Reports Killian–Jamieson diverticulum (KJD) is a rare type of esophageal diverticulum less commonly encountered compared with Zenker's diverticulum (ZD). Endoscopic approach for these diverticula has been rapidly evolving. Currently, a flexible endoscopic septum division is considered the first‐line treatment for symptomatic ZD patients, however reported recurrence rates are over 10% according to recent literature. With the advent of submucosal tunneling technique established by per‐oral endoscopic myotomy for achalasia, it has been applied to treat ZD named as Zenker's diverticulum per‐oral endoscopic myotomy (Z‐POEM) as a minimally invasive treatment. Although there are very few reports utilizing submucosal tunneling approach to KJD, we have opted to perform Z‐POEM in order to safely perform complete dissection of the muscle septum while maintaining mucosal integration. Due to the difficulty of anatomical location of KJD, we created mucosal incision and subsequent submucosal tunnel directly at the level of the septum as opposed to creating a submucosal tunnel few centimeters proximal to the septum as being previously proposed. We report a case in which this technique was successfully performed with complete resolution of dysphagia without any adverse event. This technique permits to perform complete myotomies without the fear of causing perforation. Although larger cohorts are required to assess its safety and efficacy, Z‐POEM to treat KJD seems to be promising. John Wiley and Sons Inc. 2021-08-24 /pmc/articles/PMC8828231/ /pubmed/35310689 http://dx.doi.org/10.1002/deo2.27 Text en © 2021 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Shimamura, Yuto Fujiyoshi, Mary Raina Angeli Fujiyoshi, Yusuke Nishikawa, Yohei Ono, Masashi Owada, Kaori Ikeda, Haruo Onimaru, Manabu Inoue, Haruhiro Per‐oral endoscopic myotomy as treatment for Killian–Jamieson diverticulum |
title | Per‐oral endoscopic myotomy as treatment for Killian–Jamieson diverticulum |
title_full | Per‐oral endoscopic myotomy as treatment for Killian–Jamieson diverticulum |
title_fullStr | Per‐oral endoscopic myotomy as treatment for Killian–Jamieson diverticulum |
title_full_unstemmed | Per‐oral endoscopic myotomy as treatment for Killian–Jamieson diverticulum |
title_short | Per‐oral endoscopic myotomy as treatment for Killian–Jamieson diverticulum |
title_sort | per‐oral endoscopic myotomy as treatment for killian–jamieson diverticulum |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828231/ https://www.ncbi.nlm.nih.gov/pubmed/35310689 http://dx.doi.org/10.1002/deo2.27 |
work_keys_str_mv | AT shimamurayuto peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum AT fujiyoshimaryrainaangeli peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum AT fujiyoshiyusuke peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum AT nishikawayohei peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum AT onomasashi peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum AT owadakaori peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum AT ikedaharuo peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum AT onimarumanabu peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum AT inoueharuhiro peroralendoscopicmyotomyastreatmentforkillianjamiesondiverticulum |