Michal Demeter, Rudolf Hyrdel
Zenker’s diverticulum (ZD) is the most common type of diverticulum in the upper gastrointestinal tract. It is a rare disease
occurring in elderly patients and is more common in men. Typical symptoms are dysphagia, regurgitation and malnutrition.
Serious complication represent recurrent infections of respiratory tract due to aspiration. Therapeutic options
include the open resection of the diverticulum in combination with myotomy of the cricopharyngeal muscle, or transorally
performed myotomy using rigid or flexibile endoscope. Flexibile endoscopic cricopharyngeal mucomyotomy is
an effective, minimally invasive and safe treatment option of ZD with good clinical outcome and low complication rate.
Approach is principally suitable for elderly polymorbid patients.