A cyst is discovered in the distal esophagus, prompting a procedure that includes incision, cleaning, and coagulation. The process is marked by collaboration and careful observation. Samples are collected for cytology, confirming the cyst. The incision is expanded, edges are turned out, and adjustments are made. After cleaning, photographs are taken and further procedures are discussed. To prevent the cyst from reforming, clipping, aversion, and closure are performed, creating a connection and a roof-like structure.