This combined procedure treats Zenker’s diverticulum, a pouch that forms in the upper esophagus and traps food. This can lead to difficulty swallowing, coughing, and even aspiration (food entering the airway). The surgery also involves cutting the cricopharyngeal muscle, which can become overly tight and contribute to the problem.

Performed under general anesthesia, the surgeon accesses the pouch through the mouth or neck and divides the wall between the esophagus and the pouch (diverticulotomy), allowing food to flow normally. At the same time, the tight muscle at the upper esophagus is cut (myotomy) to reduce pressure and prevent recurrence. Most patients notice improvement in swallowing. Recovery involves a short hospital stay, starting with a liquid diet that gradually advances. Risks include bleeding, infection, or temporary hoarseness, but complications are uncommon in experienced hands.