STEP 2Exposure and resection of the diverticulum

The esophagus is mobilized from its bed sufficiently to allow dissection of the diverticulum, which is most often located posteriorly. The diverticulum is isolated, grasped with a Babcock type forceps, and carefully dissected from its attachments until the entire sac is free and attached to the esophagus only at the neck.

If the diverticulum has a wide neck, a large bougie (60F) is passed down the esophagus, and the diverticulum is then stapled longitudinally using a stapling device (TA) and excised.

Diverticulum Esophagus

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