Endoscopic diverticulotomy for symptomatic pediatric esophageal diverticula
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Updated: Aug 22, 2026

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Published on: August 22, 2025
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.
Abstract:
There have so far been few reports on esophageal diverticulum in children. We experienced two symptomatic pediatric cases with esophageal diverticulum. Our cases manifested high fever and dysphagia with chest pain during swallowing. The patients underwent endoscopic diverticulotomy. The septum between the diverticulum and the esophagus was cut using the argon plasma coagulation (APC 3000) system. We recommend an endoscopic diverticulotomy as an effective treatment modality for such symptomatic cases.
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