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Create a Free AccountProcedures - Endoscopic submucosal dissection (ESD)
Complementary role of EUS, EndoFLIP, and manometry for management of type III achalasia with peroral endoscopic myotomy in a patient with compensated cirrhosis and no varices
A 52-year-old woman with alcoholic cirrhosis was evaluated for dysphagia and found to have type III achalasia. Her cirrhosis was complicated by portal hypertension in the form of ascites and hepatic encephalopathy. Because of her decompensated cirrhosis, she was initially treated with balloon dilations, with minimal to no durable improvement in dysphagia. However, several months after cessation of alcohol use, her ascites and encephalopathy resolved, and she no longer required paracenteses and lactulose.Functional luminal imaging probe technology to assess response after flexible endoscopic Zenker diverticulotomy
Zenker diverticulum (ZD) is rare, with an unknown overall prevalence, given that many patients with ZD are likely asymptomatic.1 ZDs are pseudodiverticula that manifest as mucosal and submucosal pulsion through the Killian triangle. Postulated mechanisms include increased intraesophageal pressure at an area of weakness in the proximal esophageal wall and hypertensive upper-esophageal sphincter (ie, decreased compliance). ZD is frequently diagnosed by esophagography. Symptoms include dysphagia, regurgitation, and, in severe cases, weight loss and malnutrition.
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