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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Nov 16, 2025; 17(11): 111770
Published online Nov 16, 2025. doi: 10.4253/wjge.v17.i11.111770
Published online Nov 16, 2025. doi: 10.4253/wjge.v17.i11.111770
Endoscopic treatment for dysphagia caused by mid-esophageal diverticulum and diffuse esophageal spasm: A case report
Xin-Ru Liu, Xue-Zhi Chen, Ming-Wei Fan, Shu-Hui Zhang, Ning Shi, Yan Chen, Xue-Min Wang, Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256603, Shandong Province, China
Cheng-Xia Liu, Department of Gastroenterology and Hepatology, Binzhou Medical University Hospital, Binzhou 256603, Shandong Province, China
Co-first authors: Xin-Ru Liu and Xue-Zhi Chen.
Author contributions: Liu XR and Chen XZ contributed to manuscript writing and editing, and data collection; Fan MW, Zhang SH, Shi N, Liu CX and Chen Y contributed to data analysis; Wang XM contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Supported by Natural Science Foundation of Shandong Province, No. 81700472; Clinical+X Project Fund of Binzhou Medical College, No. BY2021LCX11; and Binzhou Medical University Science and Technology Program Projects, No. BY2019KJ13.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue-Min Wang, Department of Gastroenterology, Binzhou Medical University Hospital, No. 661 Huanghe 2nd Road, Binzhou 256603, Shandong Province, China.
Received: July 9, 2025
Revised: August 22, 2025
Accepted: October 11, 2025
Published online: November 16, 2025
Processing time: 128 Days and 18.3 Hours
Revised: August 22, 2025
Accepted: October 11, 2025
Published online: November 16, 2025
Processing time: 128 Days and 18.3 Hours
Core Tip
Core Tip: A rare case of mid-esophageal diverticulum with diffuse esophageal spasm is described. The case highlights the importance of considering diffuse esophageal spasm when treating mid-esophageal diverticulum. Diagnostic tools such as upper gastrointestinal pan-glucosamine contrast, esophageal manometry, chest computed tomography, and gastroscopy can be helpful. Submucosal tunneling endoscopic septum division + per-oral endoscopic myotomy is an effective treatment approach for this condition.