Uploaded March 2021 | Updated September 2026, 2 hours ago
Presentation of Z-POEM at ESGE Days 2021 by Dr Georgios Mavrogenis (Greece).
This talk explains in detail all available techniques for the treatment of Zenker's diverticulum and discusses the pros and cons of Z-POEM.Chairs: Thomas Rösch (Germany), Brigitte Schumacher (Germany)
Presentation of Z-POEM at ESGE Days 2021 by Dr Georgios Mavrogenis (Greece).
This talk explains in detail all available techniques for the treatment of Zenker's diverticulum and discusses the pros and cons of Z-POEM.Chairs: Thomas Rösch (Germany), Brigitte Schumacher (Germany)



![Clip and band ESD for obstructive lipoma of the ileocecal valve.
A 50-year-old male with chronic colicky abdominal pain underwent colonoscopy. Endoscopy disclosed an obstructive smooth submucosal lesion, resembling to a lipoma, that originated from the ileocecal valve (Fig.1). After multidisciplinary discussion we decided to proceed to endoscopic resection of the lesion by means of endoscopic submucosal dissection (ESD) (Video 1), as previously described [1]. In order to facilitate the endoscopic resection two complexes of clip and band were placed during the procedure in order to achieve adequate dynamic multifocal traction (Fig. 2) [2]. After circumferential incision with a Hook Knife (Olympus, Tokyo, Japan) the thick submucosal tissue was progressively dissected (Fig. 3) (Endocut Q, Effect 3, Interval 3, Duration 3, ERBE, Tubingen, Germany). Visible vessels were coagulated with the knife (forced Coag, 40 watts). Dissection of the fattish component of the lesion resulted into blurring of the view due to deposition of fat droplets at the lens. Therefore, the endoscope was retracted several times for cleaning the lens. Finally, the lesion was safely removed and the patency of the ileocecal valve was re-established (Fig 4,5). Visible vessels were coagulated with a coagrasper (Olympus) and the resection bed was closed with clips. The patient was discharged after 24 h and had an uneventful recovery. At 3 months of follow-up, he remains symptom free. Clip and band ESD for obstructive lipoma of the ileocecal valve.](https://i.ytimg.com/vi/wBvO10UEpxE/mqdefault.jpg)






