Step 1: A pharyngeal pouch, also called Zenker's diverticulum, is a posterior pulsion diverticulum that herniates through Killian's dehiscence between the cricopharyngeus and the thyropharyngeus muscles.
Step 2: It can be treated by open surgical excision or by endoscopic techniques. The endoscopic Dohlman procedure divides the common wall (party wall) between the pouch and the esophagus, including the cricopharyngeus, to relieve obstruction.
Step 3: The endoscopic Dohlman approach is especially suited to elderly or frail patients because it avoids an open neck operation.
Step 4: Meckel's diverticulum is an ileal anomaly, dermatomyositis is an inflammatory myopathy, and Menetrier's disease is a gastric mucosal disorder, none treated by the Dohlman procedure. The answer is Zenker's diverticulum.