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. 2021 Sep 15;6(12):562–567. doi: 10.1016/j.vgie.2021.08.003

Figure 5.

Figure 5

Mucosotomy. A, After over-the-septum Z-POEM, the mucosal flap is stabilized with placement of one through-the-scope clip at either end. B, The stag beetle knife is used to transect the mucosal flap. C, The mucosal flap is incised down to the most inferior aspect of the diverticulum. D, The entire mucosal defect is closed with through-the-scope clips. Z-POEM, Zenker’s peroral endoscopic myotomy.