New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series

Figure 1 5 mm surgical stapler articulating to 80 degrees (MicroCutter30 Xchange, Cardica Inc. , Redwood City, CA, United States/Cardica GmbH, Laichingen, Germany) is shown.

Figure 2 ZD overtube, Cook Endoscopy, Winston-Salem, NC, United States.

Figure 3 Septum is shown between the diverticulum and the esophagus stressed by the overtube (Zenker’s diverticulum over- tube, Cook Endoscopy, Winston-Salem, NC, United States).

Figure 4 Centrally placed stapler is shown under flexible endoscopic control.

Figure 5 Complete dissection of the septum is shown up to the bottom of the diverticulum with visible stapler stitches.

Figure 6 Flow chart of of flexible endoscopic stapler Zenker diverticulotomy.