ArticleACG case reports journal2025
Sealing the Gap: Innovative Use of Fibrin Sealant in the Zenker Peroral Endoscopic Myotomy Complication Management.
Article in ACG case reports journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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Abstract
The Zenker diverticulum is a pulsion diverticulum at the pharyngoesophageal junction, traditionally managed surgically. The Zenker peroral endoscopic myotomy offers a minimally invasive alternative, but secure closure of the mucosotomy is essential. We report a 65-year-old woman who developed pneumomediastinum following the Zenker peroral endoscopic myotomy due to proximal clip dehiscence. Initial lavage and endoscopic suturing failed. A subsequent session with argon plasma coagulation and fibrin sealant achieved complete closure, with rapid clinical recovery and resolution of pneumomediastinum. This case highlights fibrin sealant as a salvage adjunct when conventional closure methods are insufficient, and compares it with other closure techniques in terms of technical considerations, durability, and cost.
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