Endoscopic diverticulotomy for symptomatic pediatric esophageal diverticula

Y Nishimoto1, T Taguchi, K Ogita

  • 1Department of Pediatric Surgery, Reproductive and Developmental Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, 812-8582 Higashi-ku, Fukuoka, Japan.

Insights

Esophageal diverticulum is rare in children. Endoscopic diverticulotomy using argon plasma coagulation effectively treated two pediatric cases presenting with fever, dysphagia, and chest pain.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Esophageal diverticulum is uncommon in pediatric populations.
  • Symptomatic presentations in children are rarely reported.

Observation:

  • Two pediatric patients presented with symptomatic esophageal diverticulum.
  • Symptoms included high fever, dysphagia, and chest pain during swallowing.

Findings:

  • Both patients successfully underwent endoscopic diverticulotomy.
  • The septum was transected using the argon plasma coagulation (APC 3000) system.

Implications:

  • Endoscopic diverticulotomy is a viable and effective treatment for pediatric esophageal diverticulum.
  • This minimally invasive approach offers a promising solution for symptomatic cases.

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