Journal: VideoGIE
Article Title: Zenker’s peroral endoscopic myotomy with myomectomy and ablation: a minimally invasive and effective technique for Zenker’s diverticulum resolution
doi: 10.1016/j.vgie.2025.10.009
Figure Lengend Snippet: A polypectomy snare was used for the myomectomy of the septum.
Article Snippet: After bilateral submucosal tunneling and total exposure of the cricopharyngeal muscle , Z-POEM-MA was performed based on 3 steps: (1) two lateral myotomies, with 1 cm of distance between them , (2) a myomectomy of the residual muscle with a 13-mm oval stiff polypectomy snare (Captivator II; Boston Scientific, Alajuela, Costa Rica) between the myotomies , and (3) mucosal ablation up to the diverticular base using argon plasma coagulation (APC) with a FiAPC probe (Erbe) in forced mode, 50 W, effect 4 ( ).
Techniques: