Difficult intubation of a Zenker's diverticulum with an acute angle

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Presentation transcript:

Difficult intubation of a Zenker's diverticulum with an acute angle Sauid Ishaq, FRCP, Akhmad Aziz, FRCR, Linzey Priesnall, MSc, Keith Siau, MRCP, Chris J.J. Mulder, PhD VideoGIE Volume 2, Issue 9, Pages 233-235 (September 2017) DOI: 10.1016/j.vgie.2017.05.003 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Barium swallow demonstrating Zenker’s diverticulum (ZD), cricopharyngeus (CP), and upper-esophageal sphincter (UES). VideoGIE 2017 2, 233-235DOI: (10.1016/j.vgie.2017.05.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Video still image showing endoscopic landmarks of Zenker’s diverticulum (ZD), cricopharyngeus (CP), and upper-esophageal sphincter (UES). VideoGIE 2017 2, 233-235DOI: (10.1016/j.vgie.2017.05.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Still images that “tell the story” of our case. A, Landmarks of Zenker’s diverticulum (ZD), cricopharyngeus (CP), and upper-esophageal sphincter (UES). B, Nasojejunal tube (NJT) passed through working channel. C, NJT tip passed through UES. D, Gastroscope advanced over the NJT into esophagus. E, NJT in the esophagus separating the esophageal wall from Zenker’s septum. F, Septal division started by use of Stag Beetle jr knife. VideoGIE 2017 2, 233-235DOI: (10.1016/j.vgie.2017.05.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions