The picture is a depiction of Zenker’s diverticulum in a 70 year old gentleman during upper Endoscopy
It is a pouch that lies in front of the esophageal opening.
A small diverticulum is asymptomatic. While dysphagia is a common symptom that arises in a large zenkers
Treatment options include
1. Traditional neck surgery with diverticulectomy or
2. Endoscopic stapling or laser