Toronto Files - Zenker's diverticulotomy

 Zenker's diverticulotomy



HQ scope
JAG wire in stomach
Make a hole at tip of the long tongue of Cook overtube
Feed the overtube over wire, with long tongue on tongue side, and short-tongue on hardpalate side
Site it carefully in Zenker's
Do myotomy using Zimmon needle knife papillotome (5.1Fr /  7 mm knife length
Clip at the end
Cefazolin 2g IV antibiotic

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