The septum of the diverticulum is demonstrated with the cap, and the Clutch Cutter is introduced. The instrument can be rotated 360 degrees by the assistant.
Coagulation of the diverticular septum using the Clutch Cutter. Settings: forced coagulation 30 W, Endo Cut Q with an effect of 1, cutting duration 3, cutting interval 1.
Resolution clips are placed to close the perforation. The perforation is completely closed with several clips in what is called the “zip” technique, and the gastric tube is left in place.