A 78-year-old male presented with chronic dysphagia and recurrent aspiration pneumonia. His past medical history included emphysema, cachexia, coronary heart disease, and active antiplatelet therapy (clopidogrel), placing him at high risk for surgical and bleeding complications.
Endoscopic evaluation revealed a 3 cm Zenker’s diverticulum, with significant retention and pooling of saliva and food debris (Fig 1). The patient was deemed unfit for surgery, and an endoscopic septotomy was planned.
Dr Carsten Triller
Head Physician, Gastroenterology
Städtisches Krankenhaus Heinsberg GmbH
Figure 2: cleaning of the diverticulum
Figure 3: Septum prepared
Figure 4: Exposure of the septum’s apex