A bilobed Zenker's diverticulum is an uncommon finding. Given the rarity of these bilobed pharyngeal pouches, their management can pose a clinical dilemma. We advocate transoral endoscopic division and stapling of the larger lobe as the management of choice for this clinical finding. We present 2 patients, each with a bilobed Zenker's diverticulum. To our knowledge, these 2 cases represent the first reported bilobed pharyngeal pouches treated successfully with division and stapling of only the larger lobe.
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