{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T13:18:05Z","timestamp":1789391885314,"version":"build-2803163510"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n            Background\u2002Diverticular peroral endoscopic myotomy (POEM) is an alternative to surgery for the management of symptomatic thoracic esophageal diverticula. Conventionally, this requires proximal tunnel formation but a direct approach may simplify the technique. Herein, we report the outcomes of direct diverticular-POEM (DD-POEM).<\/jats:p><jats:p>\n            Methods\u2002We conducted a single-center prospective observational study evaluating DD-POEM. This involved a direct approach to the diverticulum. Success was defined as an Eckardt score of \u2264\u200a3 without the need for reintervention.<\/jats:p><jats:p>\n            Results\u200210 patients underwent DD-POEM (median age 72 years; interquartile range [IQR] 14.3; male 60\u200a% [n\u200a=\u200a6]). Median diverticulum size was 40\u200amm (IQR 7.5) and median location was 35\u200acm from the incisors (IQR 8.3). Five patients (50\u200a%) had an underlying dysmotility disorder. The median procedure duration was 60 minutes (IQR 28.8). There were no adverse events. The median hospital stay was 1 day (IQR 0.75). The pre-procedure median Eckardt score of 6 (IQR 4) significantly improved to 0 (IQR 0.75; P\u200a&lt;\u200a0.001) at a median follow-up of 14.5 months (IQR 13.8). Success was achieved in all patients.<\/jats:p><jats:p>\n            Conclusions\u2002DD-POEM was a safe technique for the management of thoracic esophageal diverticula. Owing to its simplicity and excellent performance it should be further evaluated for the treatment of this disorder.<\/jats:p>","DOI":"10.1055\/a-2182-5853","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T22:49:44Z","timestamp":1697669384000},"page":"41-46","source":"Crossref","is-referenced-by-count":4,"title":["Direct diverticular peroral endoscopic myotomy for the treatment of thoracic esophageal diverticula: technique and outcomes"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2647-1834","authenticated-orcid":false,"given":"Julia L.","family":"Gauci","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3471-8304","authenticated-orcid":false,"given":"Sunil","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia"},{"name":"Westmead Clinical School of Medicine, The University of Sydney, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Abu Arisha","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia"},{"name":"Westmead Clinical School of Medicine, The University of Sydney, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Whitfield","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia"},{"name":"Westmead Clinical School of Medicine, The University of Sydney, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Cronin","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia"},{"name":"Westmead Clinical School of Medicine, The University of Sydney, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varan","family":"Perananthan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, 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J.","family":"Bourke","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia"},{"name":"Westmead Clinical School of Medicine, The University of Sydney, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.jss.2013.05.036","article-title":"Surgical management of esophageal diverticulum: a review of the Nationwide Inpatient Sample database","volume":"184","author":"M T Onwugbufor","year":"2013","journal-title":"J Surg Res"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1442-2050.2007.00795.x","article-title":"Zenker\u2019s diverticula: pathophysiology, clinical presentation, and flexible endoscopic management","volume":"21","author":"L E Ferreira","year":"2008","journal-title":"Dis 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