Simultaneous treatment of concomitant achalasia coexisting with epiphrenic diverticulum: The practice of submucosal tunneling technique

doi:10.3748/wjg.v32.i9.114758

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Mar 7, 2026 (publication date) through Mar 2, 2026

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.

World J Gastroenterol. Mar 7, 2026; 32(9): 114758
Published online Mar 7, 2026. doi: 10.3748/wjg.v32.i9.114758

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Figure 1 Endoscopic findings of epiphrenic diverticulum in achalasia patients. A and B: Epiphrenic diverticulum (ED) with septum; C and D: ED without septum.

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Figure 2 The procedure of preoral endoscopic myotomy with diverticular septotomy. A: Large epiphrenic diverticulum; B: Submucosal injection of methylene blue saline solution; C: Exposure of septum; D: Removal of the diverticulum septum; E: Completion of septum division and myotomy; F: Mucosal incision closed with clips.

Citation: Hao XW, Bi YW, Wang ZM, Niu XT, Xiang JY, Su S, Li LS, Linghu EQ, Chai NL. Simultaneous treatment of concomitant achalasia coexisting with epiphrenic diverticulum: The practice of submucosal tunneling technique. World J Gastroenterol 2026; 32(9): 114758
URL: https://www.wjgnet.com/1007-9327/full/v32/i9/114758.htm
DOI: https://dx.doi.org/10.3748/wjg.v32.i9.114758