A DIVERTICULUM at the upper end of the ESOPHAGUS through the cricopharyngeal muscle at the junction of the PHARYNX and the esophagus.
A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT.
A congenital abnormality characterized by the outpouching or sac formation in the ILEUM. It is a remnant of the embryonic YOLK SAC in which the VITELLINE DUCT failed to close.
Saccular protrusion beyond the wall of the ESOPHAGUS.

Pharyngeal pouch (Zenker's diverticulum). (1/24)

Pharyngeal pouches occur most commonly in elderly patients (over 70 years) and typical symptoms include dysphagia, regurgitation, chronic cough, aspiration, and weight loss. The aetiology remains unknown but theories centre upon a structural or physiological abnormality of the cricopharyngeus. A diagnosis is easily established on barium studies. Treatment is surgical via an endoscopic or external cervical approach and should include a cricopharyngeal myotomy. Unfortunately pharyngeal pouch surgery has long been associated with significant morbidity, partly due to the surgery itself and also to the fact that the majority of patients are elderly and often have general medical problems. External approaches are associated with higher complication rates than endoscopic procedures. Recently, treatment by endoscopic stapling diverticulotomy has becoming increasingly popular as it has distinct advantages, although long term results are not yet available. The small risk of developing carcinoma within a pouch that is not excised remains a contentious issue and is an argument for long term follow up or treating the condition by external excision, particularly in younger patients.  (+info)

Incidentally found pharyngoesophageal diverticulum on ultrasonography. (2/24)

The pharyngoesophageal diverticulum in the lower part of the neck can be detected using neck ultrasonography. We present a case of pharyngoesophageal diverticulum mimicking a thyroid nodule, which was found incidentally by ultrasonography, and discuss its peculiar findings, which might be useful to diagnose pharyngoesophageal diverticulum and to prevent invasive procedures such as needle aspiration biopsy.  (+info)

Long-term follow-up of endoscopic stapled diverticulotomy. (3/24)

We report a consecutive series of 31 patients who underwent endoscopic stapled diverticulotomy. The patients' notes were reviewed retrospectively to gather data on their original admission and a postal survey was conducted to establish patient satisfaction, their ability to swallow and re-operation data. Three patients were lost to follow-up. Nine of the remaining 28 died at a median of 18 months. The remaining 21 were followed up for a median of 59 months. The data showed that, at 5 years, 94.4% of patients had an improvement in their swallowing, and 50% had an entirely normal swallow. In order to achieve this result, 19% of patients required a second procedure, and one patient (3.2%) required a third (open) procedure. Endoscopic stapled diverticulotomy has well-established, short-term advantages. This series shows that it has a good long-term outcome that is similar to established open techniques and probably better than other techniques of endoscopic diverticulotomy, i.e. diathermy or laser.  (+info)

A retrospective review of pharyngeal pouch surgery in 56 patients. (4/24)

We retrospectively reviewed 56 consecutive patients treated surgically for a pharyngeal pouch at our institution between 1989-1999 (10 years). Various surgical procedures were performed including endoscopic stapling (20), external excision (23), Dohlman's procedure (9), pouch inversion (3), cricopharyngeal myotomy only (3), and pouch suspension (1). There were 12 patients (18%) with complications and one mortality (2%). Four patients (7%) had a recurrence with 2 requiring further surgery. Over the latter 3 years, endoscopic stapling has emerged as the primary procedure for pharyngeal pouch surgery in our unit; with the advantages of an earlier commencement of diet and earlier hospital discharge. However, results were not as good as for external excisions. Furthermore, there were difficulties with 3 cases that commenced as endoscopic stapling procedures but had to he converted to external excisions due to inaccessibility in one case and iatrogenic perforations in two cases. As with any new technique, problems may occur and a learning curve has been appreciated in our unit. Surgeons must he prepared, with informed consent, to convert to an external approach should difficulties arise during endoscopic stapling. Elderly and frail patients who are at risk from a general anaesthetic may benefit from endoscopic stapling. External excision of pharyngeal pouches may be more appropriate in the young, the medically fit, and when malignancy is a concern.  (+info)

Current management in pharyngeal pouch surgery by UK otorhinolaryngologists. (5/24)

INTRODUCTION: Many surgical techniques have been described for the treatment of pharyngeal pouches but there is no single treatment of choice. The aim of this study was to determine current practice in pharyngeal pouch surgery by UK otolaryngologists. METHODS: A postal questionnaire was sent to all UK-based consultant members of the British Association of Otolaryngologists - Head and Neck Surgeons (BAO-HNS). RESULTS: Endoscopic stapling diverticulotomy is the most commonly performed procedure, performed by 89% of surgeons, followed by excision. Of those consultants that considered there to be a treatment of choice, 83% stated endoscopic stapling as their preference. Practices differ regarding the insertion of nasogastric tubes after endoscopic procedures and the need for postoperative barium studies. The length of in-patient stay tends to be short with 80% of surgeons discharging patients by day 2. CONCLUSIONS: Endoscopic stapling diverticulotomy is now the most commonly performed procedure for the management of pharyngeal pouches by UK otolaryngologists and is now considered by many to be the treatment of choice.  (+info)

Sonographic findings of Zenker diverticula. (6/24)

OBJECTIVE: The purpose of this study was to describe the sonographic findings of Zenker diverticula. METHODS: This study included 6 patients (age, 26-70 years; average, 55.3 years). Three cases were detected incidentally by thyroid sonograms, and 3 cases were transferred from other hospitals for aspiration of a thyroid nodule. All the sonograms and medical records were reviewed retrospectively. RESULTS: All 6 patients had no symptoms, and diverticula were incidentally detected by neck sonography. The masses were located on the posterolateral aspect of the left lobe in 5 patients and the right lobe in the remaining patient. All lesions were located in the upper and mid portions of the thyroid glands and showed echogenic foci similar to those of a microcalcification or an arc-shaped microcalcification. The sonographic findings of a Zenker diverticulum were seen as an isoechoic or a hypoechoic mass with internal or peripheral echogenic foci and a boundary hypoechoic zone at the posterior portion of the thyroid gland on sonography. All lesions appeared connected with the adjacent esophageal wall on sonography. In all cases, diagnoses were confirmed by esophagography. CONCLUSIONS: Zenker diverticula had several unique characteristics on sonography. We can, therefore, diagnose Zenker diverticula by careful thyroid sonography, avoiding unnecessary aspiration due to misdiagnosis of a Zenker diverticulum as a thyroid nodule.  (+info)

Ulcer in the basis of Zenker's diverticulum mimicking esophageal malignancy. (7/24)

Complications of Zenker's diverticulum are rare and include ulcer, bleeding and malignancy. Ulcer in the basis of diverticulum is a very rare complication and to date only four cases have been reported in the literature. Herein, we report a new case of ulcer in Zenker's diverticulum mimicking esophageal malignancy presumed to be due to aspirin and/or alcohol consumption. The exact diagnosis was troublesome and needed to perform diagnostic procedures repeatedly. The patient underwent external pharyngoesophageal diverticulectomy. We emphasize that endoscope should be withdrawn if any resistance is encountered during esophageal intubation-even with forward-viewing endoscope-especially when there is a Zenker's diverticulum suspicion and the patient receives ulcerogenic agents. Endoscopic examination should be performed prior to any definitive surgical procedure in all patients with Zenker's diverticulum.  (+info)

20 years experience in the management of Zenker's diverticulum in a third-level hospital. (8/24)

Zenker s diverticulum arises in the posterior wall of the pharynx, above the cricopharyngeal muscle, secondary to a functional cricopharyngeal disorder. We describe our experience with the management of Zenker s diverticulum from 1985 to this day in a third-level hospital. We review clinical data from 27 patients (78% males) with a mean age of 60.4 years. The most common clinical manifestations were dysphagia, regurgitation, syalorrhea, cough, and weight loss. All cases were diagnosed using an esophagogram. A diverticulectomy with cricopharingeal myotomy was performed in 74% of patients. Complications developed in 5 cases (21%), and the recurrence rate was 4% (1 of 3 cases, where myotomy was not performed).  (+info)

A Zenker diverticulum is a small, pouch-like structure that forms in the back of the throat (pharynx), specifically in the area called the hypopharynx. It's an acquired condition, which means it develops over time due to increased pressure in the pharyngeal muscles, leading to the formation of the diverticulum. This condition is more common in older adults and can cause difficulty swallowing (dysphagia), regurgitation of undigested food, halitosis (bad breath), and occasionally coughing or choking, especially when lying down. The diagnosis is typically made through a barium swallow X-ray study or an endoscopic examination. Treatment usually involves surgical intervention to remove the diverticulum and relieve symptoms.

A diverticulum is a small sac or pouch that forms as a result of a weakness in the wall of a hollow organ, such as the intestine. These sacs can become inflamed or infected, leading to conditions like diverticulitis. Diverticula are common in the large intestine, particularly in the colon, and are more likely to develop with age. They are usually asymptomatic but can cause symptoms such as abdominal pain, bloating, constipation, or diarrhea if they become inflamed or infected.

Meckel's diverticulum is a congenital condition in which a small pouch-like structure protrudes from the wall of the intestine, typically located on the lower portion of the small intestine, near the junction with the large intestine. It is a remnant of the omphalomesenteric duct, which is a vestigial structure that connects the fetal gut to the yolk sac during embryonic development.

Meckel's diverticulum is usually asymptomatic and goes unnoticed. However, in some cases, it can become inflamed or infected, leading to symptoms such as abdominal pain, nausea, vomiting, and blood in the stool. This condition is more common in males than females and is typically diagnosed in children under the age of 2. If left untreated, Meckel's diverticulum can lead to complications such as intestinal obstruction, perforation, or bleeding, which may require surgical intervention.

An esophageal diverticulum is a small pouch or sac that forms as a result of a protrusion or herniation of the inner lining (mucosa) of the esophagus through the outer layer of muscle in the wall of the esophagus. Esophageal diverticula can occur in any part of the esophagus, but they are most commonly found in the lower third of the esophagus, near the junction with the stomach.

Esophageal diverticula may be congenital (present at birth) or acquired (develop later in life). Acquired esophageal diverticula are often associated with underlying conditions such as esophageal motility disorders, strictures, or tumors that increase the pressure inside the esophagus and cause the mucosa to bulge out through weakened areas of the esophageal wall.

Symptoms of esophageal diverticula may include difficulty swallowing (dysphagia), regurgitation of undigested food, chest pain, heartburn, and recurrent respiratory infections due to aspiration of food or saliva into the lungs. Treatment options for esophageal diverticula depend on the size and location of the diverticulum, as well as the presence of any underlying conditions. Small asymptomatic diverticula may not require treatment, while larger symptomatic diverticula may be treated with surgical removal or endoscopic repair.

A Zenker's diverticulum, also pharyngeal pouch, is a diverticulum of the mucosa of the human pharynx, just above the ... Larger, symptomatic cases of Zenker's diverticulum have been traditionally treated by neck surgery to resect the diverticulum ... Rarer forms of cervical esophageal diverticula are the Killian's diverticulum and the Laimer's diverticulum. Killian's ... Zenker's diverticulum mainly affects older adults. It has an incidence of 2 per 100,000 per year in the UK, but there is ...
F.Zenker. Haubrich, WS (May 2004). "Von Zenker of Zenker's diverticulum". Gastroenterology. 126 (5): 1269. doi:10.1053/j.gastro ... Zenker's degeneration Zenker's diverticulum Zenker's paralysis "Medical News: Trichiniasis". The Lancet. 1: 189. 17 February ... Zenker's diverticulum, a false pathological diverticulum of the posterior pharyngeal wall, through the thyropharyngeus and ... Friedrich Albert von Zenker @ Who Named It v t e (CS1: Julian-Gregorian uncertainty, Articles with short description, Short ...
Zenker's diverticulum develops between the two muscular bellies (the thyropharyngeal part and the cricopharyngeal part) in a ... It may be affected by Zenker's diverticulum. The inferior pharyngeal constrictor muscle is composed of two parts. The first ... A diverticulum can form where a balloon of mucosa becomes trapped outside the pharyngeal boundaries. Food or other materials ... the inferior pharyngeal constrictor muscle are currently considered the main factors in development of a Zenker's diverticulum ...
Zenker also found Zenker's degeneration and Zenker's diverticulum. Zenker's diverticulum Zenker's degeneration Levy, Bruce A.; ... Friedrich Albert von Zenker (1825-1898) was a German pathologist and physician, celebrated for his discovery of trichinosis. He ... The condition was named after Friedrich Albert von Zenker. Peroneal nerve paralysis usually leads to neuromuscular disorder, ... "Whonamedit - Friedrich Albert von Zenker". whonamedit.com. Retrieved 2014-01-25. (All articles with incomplete citations, ...
See Zenker's diverticulum) Dysphagia is often a side effect of surgical procedures like anterior cervical spine surgery, ... This may lead to formation of a Zenker's diverticulum. Pharyngeal pouches typically cause difficulty in swallowing after the ... Partial or total laryngectomy Laryngotracheal separation Supralaryngectomy Palatoplasty Cricopharyngeal myotomy Zenker's ...
He died in 2015 in Bettendorf, Iowa from a Zenker's diverticulum. Iowa Legislative Services Agency. "State Representative". ...
Diverticula are seldom larger than 1.5 cm, and are less frequent than the similar Zenker's diverticula. As opposed to a ... It is usually smaller in size than a Zenker's diverticulum, and typically asymptomatic. Although congenital, it is more ... Zenker's, which is typically a posterior and inferior outpouching from the esophagus, a Killian-Jamieson diverticulum is ... A Killian-Jamieson diverticulum is an outpouching of the esophagus just below the upper esophageal sphincter. The physicians ...
A Zenker's diverticulum may also result in halitosis due to aging food retained in the esophagus. The stomach is considered by ...
It represents a potentially weak spot where a pharyngoesophageal diverticulum (Zenker's diverticulum) is more likely to occur. ... Chaplin JM, Stewart IA (July 1994). "Use of surgical stapling device in excision of pharyngeal diverticulum". ANZ Journal of ...
Emesis of undigested food points to an obstruction prior to the gastric outlet, such as achalasia or Zenker's diverticulum. If ...
... can refer to: Zenker's diverticulum Pharyngeal pouch (embryology) This disambiguation page lists articles ...
Esophageal diverticula may occur in one of three areas of the esophagus: Pharyngeal (Zenker's) diverticula usually occur in the ... Meckel's diverticulum Large bowel (sigmoid colon) showing multiple diverticula: the diverticula appear on either side of the ... Colonic diverticulum Diverticulum of the urinary bladder of a 59-year-old man, transverse plane Bladder diverticula containing ... A Killian-Jamieson diverticulum is very similar to a pharyngeal esophageal diverticulum, differing in the fact that the ...
Chronic diseases might include congenital diseases such as Zenker's diverticulum and esophageal webbing, and oesophageal ...
... diverticulum, colon MeSH C23.300.415.250 - diverticulum, esophageal MeSH C23.300.415.250.900 - zenker diverticulum MeSH C23.300 ... diverticulum, stomach MeSH C23.300.415.750 - meckel diverticulum MeSH C23.300.575.150 - cutaneous fistula MeSH C23.300.575.185 ...
... syndrome ZAP70 deficiency Zamzam-Sheriff-Phillips syndrome Zechi-Ceide syndrome Zellweger syndrome Zenker's diverticulum ...
Zenker's diverticulum Clinic services Family Health Care, Pediatrics, Pain Management, Specialty Care, Mental/ Behavioral ...
Zenker's degeneration Zenker's diverticulum Zenker's fixative Zenker's paralysis Georg August Zenker (1855-1922), German ... German tenor Helmut Zenker (1949-2003), from Austria Ramon Zenker, German music producer Rudolf Zenker (1903-1984), heart ... German naturalist Karl-Adolf Zenker (1907-1998) was a German admiral and son of Hans Zenker Christian Zenker (1975), ... Zenker is the name of: Friedrich Albert von Zenker (1825-1898) was a German pathologist, who named: ...
... diverticulum Mallory-Weiss syndrome Neurogenic dysphagia Nutcracker esophagus Schatzki's ring Zenker's diverticulum "Esophagus ...
... history of surgery for laryngeal or esophageal cancer history of radiation or irritating injury achalasia Zenker's diverticulum ... Rare causes of esophageal dysphagia not mentioned above Diverticulum Aberrant subclavian artery, or (dysphagia lusoria) ...
Hans Ulrich Zellweger Zenker diverticulum - Friedrich Albert von Zenker Zenker paralysis - Friedrich Albert von Zenker Zieve ...
Some common ones are:[citation needed] Esophageal atresia Paterson-Kelly syndrome Zenker's diverticulum Esophageal varices ... Benign strictures Achalasia Esophageal diverticula Scleroderma Diffuse esophageal spasm Polymyositis Webs and rings Esophageal ...
Markus W. Büchler (1981). "Structural analysis of Meckel's diverticulum with special reference to endocrine cells". Norm. ... Rudolf-Zenker Prize of the German Surgical Association (DGCH) (2014) Lifetime-Senator Status of the German Surgical Association ...
A Zenkers diverticulum, also pharyngeal pouch, is a diverticulum of the mucosa of the human pharynx, just above the ... Larger, symptomatic cases of Zenkers diverticulum have been traditionally treated by neck surgery to resect the diverticulum ... Rarer forms of cervical esophageal diverticula are the Killians diverticulum and the Laimers diverticulum. Killians ... Zenkers diverticulum mainly affects older adults. It has an incidence of 2 per 100,000 per year in the UK, but there is ...
... a pulsion diverticulum of the hypopharynx, is a rare lesion that occurs in elderly populations. The condition results in a ... Workup in Zenker diverticulum. The criterion standard for confirmatory evaluation of Zenker diverticulum is a barium swallow ... encoded search term (Zenker Diverticulum) and Zenker Diverticulum What to Read Next on Medscape ... Signs and symptoms of Zenker diverticulum. The history strongly suggests the diagnosis of Zenker diverticulum. The combination ...
Frontal image during the esophagram portion of the UGI series.
A Zenkers diverticulum is a pouch that develops on the pharynx, in the upper esophagus of the neck. It may trap food, causing ... 231) 489-8151 , A diverticulum is a sac or pocket that forms on a portion of the body. ... Zenkers diverticulum is the most common type of esophageal diverticulum.. What Causes Zenkers Diverticulum?. The most common ... Diagnosing and Treating Zenkers Diverticulum. To diagnose Zenkers diverticulum, patients are usually given a barium swallow ...
As with the entire gastrointestinal (GI) tract, diverticula of the hypopharynx may be true or false, depending on the number of ... A diverticulum is an outpouching that protrudes from the wall of a viscus. ... This pseudo-Zenker diverticulum can be distinguished from a true Zenker diverticulum by means of fluoroscopic observation. The ... encoded search term (Zenker Diverticulum Imaging) and Zenker Diverticulum Imaging What to Read Next on Medscape ...
3. Zenkers diverticulum. Though rare, sometimes the esophagus has an abnormal pouch that prevents food from traveling to the ... Treatment for Zenkers diverticulum typically involves surgery. 4. Chronic motor tic disorder. Chronic motor tic disorder ... This is known as Zenkers diverticulum. The condition occasionally causes the contents of the pouch and mucus to get stuck in ...
Valley ENT specializes in Zenkers Diverticulum. Contact the top doctors of Valley ENT today! Locations are in Phoenix, ... Zenkers Diverticulum. Zenkers Diverticulum - About. Zenkers diverticulum is a condition characterized by a pouch that can ... Zenkers Diverticulum - Treatment. Treatment for Zenkers diverticulum is based on the severity of symptoms. No medications are ... Zenkers Diverticulum - Diagnosis. While Zenkers diverticulum is well understood, experts dont know specifically what causes ...
The picture is a depiction of Zenkers diverticulum in a 70 year old gentleman during upper Endoscopy ... A small diverticulum is asymptomatic. While dysphagia is a common symptom that arises in a large zenkers ...
title = "Peroral endoscopic septotomy for short-septum Zenkers diverticulum",. abstract = "Background Treatments of Zenkers ... for treating symptomatic patients with short-septum Zenkers diverticulum. Methods All patients with short-septum Zenkers ... for treating symptomatic patients with short-septum Zenkers diverticulum. Methods All patients with short-septum Zenkers ... for treating symptomatic patients with short-septum Zenkers diverticulum. Methods All patients with short-septum Zenkers ...
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Zenkers Diverticulectomy (Resection of Zenkers Diverticula). April 22, 2009. Zenkers diverticulum is an outpouching of the ... The Zenkers diverticulum is the sac-like structure seen filling at 3 oclock. ... Postoperative course in Zenkers Diverticulectomy. The Zenkers diverticulectomy patient is kept NPO (nothing by mouth) for ... Alternately, the diverticulum can be resected with a knife and the defect hand-sewn. This is accomplished by placing stay ...
Zenker diverticulum. Home Care. Use proper dental hygiene, especially flossing. Remember that mouthwashes are not effective in ...
We suggest that the etiology of Zenkers diverticulum in the elderly may be neurologic in origin. Esophageal motor disorders, ... An association with clinical neurologic disease at our institution prompted a review of 12 cases of Zenkers diverticulum in ... the etiology of Zenkers diverticulum remains unclear. Various primary esophageal motor disorders have been proposed, but no ... which may result in Zenkers diverticulum, may be a manifestation of central or peripheral neurologic disease in the elderly. ...
Cricopharyngeal myotomy with Thulium laser through flexible endoscopy for Zenker diverticulum. Presented by Stefano Siboni at ...
Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenkers Diverticulum: Case Report and Clinical Significance ...
Guidewire-assisted technique for gastroscope insertion through stricture of Zenkers diverticulum for esophageal endoscopic ... Divertículo de Zenker / Ressecção Endoscópica de Mucosa Limite: Humanos Idioma: Inglês Revista: Endoscopy Ano de publicação: ... Divertículo de Zenker / Ressecção Endoscópica de Mucosa Limite: Humanos Idioma: Inglês Revista: Endoscopy Ano de publicação: ... Guidewire-assisted technique for gastroscope insertion through stricture of Zenkers diver ...
Excision of Zenkers diverticulum. *Hemithyroidectomy. *Neck biopsy. *Neck dissection. *Parathyroidectomy. *Partial ...
Zenkers diverticulum. Laryngologists and SLPs specialize in evaluating and treating symptoms of swallowing disorders, ...
Zenkers Diverticulum. View all 57 Specialties + Insurance Insurance. Is Cleveland Clinic Part of Your Insurance?. Review a ...
In this retrospective we evaluate swallowing dysfunction in patients with an established diagnosed of Zenkers diverticulum ... Retrospective Analysis of Patients with Zenkers Diverticula: A Single Center Analysis of 103 Cases with Zenkers Diverticula ... Retrospective Analysis of Patients with Zenkers Diverticula: A Single Center Analysis of 103 Cases with Zenkers Diverticula ... Retrospective Analysis of Patients with Zenkers Diverticula: A Single Center Analysis of 103 Cases with Zenkers Diverticula ...
Endoscopic Versus External Treatment of Zenkers Diverticulum. January 13, 2015. Is an endoscopic or external diverticulectomy ...
History of Zenkers diverticulum. *Patients with implantable cardiac devices. *History of bowel strictures or fistulas ...
Zenker Diverticulum. Summary. Discussion Questions. Study Questions. References. Chapter 5. Clinical Evaluation of Swallowing ...
Concurrent Killian-Jamieson and Zenkers Diverticula. Alotaibi FZ, Lee GD, Lee YS. Alotaibi FZ, et al. J Craniofac Surg. 2023 ...
Outcomes in modified transoral resection of diverticula for Zenkers diverticulum. European Archives of Oto-Rhino-Laryngology ... Endoscopic myotomy of Zenkers diverticulum: lessons from 3 decades of experience. Gastrointestinal Endoscopy 2016; 83(4): 774 ... Comparison of Surgical Treatments for Zenker Diverticulum. JAMA Otolaryngology-Head & Neck Surgery 2021; 147(2): 190 doi: ... Zenker-diverticulum miatt végzett 47 flexibilis endoszkópos beavatkozás jellemzői és kimenetele.. Orvosi Hetilap 2022; 163(17) ...
Zenker diverticulum. Home Care. Use proper dental hygiene, especially flossing. Remember that mouthwashes are not effective in ...
Motility disorders of oropharynx • Dysfunction of the UES • Zenkers diverticulum, Cricopharingeal bar • Neurologic disorders ( ...
Significant technical changes and a shift toward a transoral approach have occurred in the management of Zenkers diverticulum ... Expanding the therapeutic options for Zenkers diverticulum: from open diverticulectomy to transoral septoplasty. *Article ... Zenker peroral endoscopic myotomy (Z-POEM) and Zenker peroral endoscopy septotomy (Z-POES) are innovative techniques that are ...
Read more about these conditions here: Zenkers Diverticulum, cricopharyngeal dysfunction. Your surgeon will inject botulinum ...
  • Barium swallow showing posteriorly positioned, moderate-sized Zenker diverticulum. (medscape.com)
  • Single spot radiograph from a barium esophagographic series demonstrates a moderate-sized Zenker diverticulum (arrow) that protrudes posteriorly from the hypopharynx. (medscape.com)
  • A combination of the simple barium swallow and a thorough endoscopy will normally confirm the diverticulum. (wikipedia.org)
  • Care must be taken in performing endoscopy in patients with known Zenker diverticulum, as passage of the endoscope into the diverticulum carries some risk of perforation. (medscape.com)
  • The standard investigations for such problems are a barium swallow X-ray (where you are X-rayed while swallowing a thick liquid that shows up on the screen, to reveal any abnormality such as a Zenker's diverticulum) and an endoscopy (where a camera on a flexible tube is used to inspect the throat and upper oesophagus). (irishnews.com)
  • We describe for the first time the use of thulium laser through flexible endoscopy in a small cohort of patients with Zenker diverticulum. (sages.org)
  • Thulium laser septum division was performed via flexible endoscopy under general anesthesia in 7 consecutive symptomatic patients with primary or recurrent Zenker diverticulum. (sages.org)
  • All diverticula are diagnosed by videotaped barium swallow and often confirmed on upper endoscopy. (msdmanuals.com)
  • Endoscopy or an upper gastrointestinal series is necessary to exclude disorders causing mechanical obstruction or a Zenker diverticulum. (msdmanuals.com)
  • Four patients presented with recurrent symptomatic diverticulum after previous transoral septum stapling or endoscopic myotomy. (sages.org)
  • For example, case reports suggest doing a cricopharyngeal myotomy when resecting a Zenker diverticulum. (msdmanuals.com)
  • A Zenker's diverticulum, also pharyngeal pouch, is a diverticulum of the mucosa of the human pharynx, just above the cricopharyngeal muscle (i.e. above the upper sphincter of the esophagus). (wikipedia.org)
  • A Zenker's diverticulum is a pouch that develops on the pharynx, in the upper esophagus of the neck. (greatlakesent.com)
  • The most common cause of Zenker's diverticulum is increased muscle pressure in the upper esophagus or pharynx. (greatlakesent.com)
  • After the contrast agent bolus passes the upper esophagus, the diverticulum is typically seen extending posterior to the cricopharyngeus muscle, and contrast material that was trapped within the diverticulum may be regurgitated back into the hypopharynx. (medscape.com)
  • Zenker's diverticulum is a condition characterized by a pouch that can form at the junction of the hypopharynx (lower part of the throat) and the esophagus. (azvent.com)
  • 14. If adhesions are present secondary to inflammation and the fascial planes are obscured, a rubber catheter is placed down the esophagus with gentle insufflation of air to distend the diverticulum. (insidesurgery.com)
  • An esophageal diverticulum is an outpouching of mucosa through the muscular layer of the esophagus. (msdmanuals.com)
  • Small diverticula in the upper esophagus were noted incidentally in this patient during an evaluation for nausea and vomiting. (msdmanuals.com)
  • In this image, the diverticulum is to the right of the esophagus and gives the appearance of a double lumen. (msdmanuals.com)
  • Dysphagia , or trouble swallowing, could be caused by stoke, cerebral palsy, Parkinson's Disease or Zenker's diverticulum, which is when a pocket forms in the esophagus trapping food. (sutterhealth.org)
  • A Zenker's diverticulum (ZD) is a rare condition where an "outpouching" occurs where your throat meets your esophagus, the swallowing pipe that leads into your stomach. (englewoodent.com)
  • The criterion standard for confirmatory evaluation of Zenker diverticulum is a barium swallow with videofluoroscopy. (medscape.com)
  • To diagnose Zenker's diverticulum, patients are usually given a barium swallow study. (greatlakesent.com)
  • Fluoroscopic barium esophagography is the mainstay of diagnosis of Zenker diverticulum. (medscape.com)
  • The fluoroscopic barium esophagram is the primary tool for the diagnosis of Zenker diverticulum. (medscape.com)
  • Barium may become trapped above a cricopharyngeal muscle that has closed before the pharyngeal contraction has passed, and this may mimic the appearance of a Zenker diverticulum. (medscape.com)
  • Based on the measurements on barium swallowing imaging (n=100), diverticula were subdivided by size, showing 44% small, 23% intermediate, 25% large and 9% very large diverticula. (jscimedcentral.com)
  • Zenker's diverticula originate in the posterior wall of the hypopharynx, at the level of the pharyngooesophageal transition. (jscimedcentral.com)
  • Another contributing factor in the pathophysiology of Zenker's diverticula is the age of the patients, as there is a decrease in tissue elasticity and muscle tone with increasing age. (jscimedcentral.com)
  • Zenker's diverticula rarely occur below the age of 40 [5,6]. (jscimedcentral.com)
  • Concurrent Killian-Jamieson and Zenker's Diverticula. (nih.gov)
  • While it may be asymptomatic, Zenker diverticulum can present with the following symptoms: Dysphagia (difficulty swallowing), and sense of a lump in the throat Food might get trapped in the outpouching, leading to: Regurgitation, reappearance of ingested food in the mouth Cough, due to food regurgitated into the airway Halitosis, smelly breath, as stagnant food is digested by microorganisms Infection It rarely, if ever, causes any pain. (wikipedia.org)
  • Smaller diverticula can often be ignored, so long as they do not cause swallowing problems (dysphagia). (greatlakesent.com)
  • Zenker diverticulum is found in approximately 2% of patients with nonspecific dysphagia who are referred for fluoroscopy. (medscape.com)
  • Preoperative assessment of dysphagia characteristics, using fiberoptic endoscopic evaluation of swallowing, in patients with Zenker diverticulum revealed that postswallow hypopharyngeal reflux (PSHR) is predictive of a diverticulum larger than 1 cm and may be useful in surgical planning. (medscape.com)
  • Mean size of Zenker's diverticulum was 17.5 mm (SD 3.0) and mean dysphagia score was 2.7 (SD 0.5). (johnshopkins.edu)
  • Larger, symptomatic cases of Zenker's diverticulum have been traditionally treated by neck surgery to resect the diverticulum and incise the cricopharyngeus muscle. (wikipedia.org)
  • An association with clinical neurologic disease at our institution prompted a review of 12 cases of Zenker's diverticulum in patients over 60 years of age, treated in the last 8 years. (etsu.edu)
  • When there is excessive pressure within the lower pharynx, the weakest portion of the pharyngeal wall balloons out, forming a diverticulum which may reach several centimetres in diameter. (wikipedia.org)
  • The pathologic process in Zenker diverticulum involves herniation of the esophageal mucosa posteriorly between the cricopharyngeal (CP) muscle and the inferior pharyngeal constrictor muscles. (medscape.com)
  • Although Zenker proposed that a pulsion mechanism affects the pharyngeal mucosa above the CP muscle, no consensus exists regarding a unifying concept of the cause of Zenker diverticula. (medscape.com)
  • A Zenker diverticulum is a false diverticulum consisting of mucosa and submucosa that arises from the posterior portion of the inferior pharyngeal constrictor muscle. (medscape.com)
  • Zenker (pharyngeal) diverticula are posterior outpouchings of mucosa and submucosa through the cricopharyngeal muscle, probably resulting from an incoordination between pharyngeal propulsion and cricopharyngeal relaxation. (msdmanuals.com)
  • If a normal pouch becomes enlarged, it is termed a lateral pharyngeal diverticulum. (radiologyassistant.nl)
  • Pay attention to the lumen of the diverticulum because irregularities or filling defects within the diverticulum may indicate the rare complication of squamous cell carcinoma. (medscape.com)
  • Laimer's diverticulum is formed in Laimer's triangle (located inferior to the cricopharyngeus in the posterior midline above the confluence of the longitudinal layer of esophageal muscle). (wikipedia.org)
  • The diverticulum appears as an outpouching arising from the midline of the posterior wall of the distal pharynx near the pharyngoesophageal junction. (medscape.com)
  • A Zenker's or hypopharyngeal diverticulum is an outpouching of the mucosa and submucosa in the posterior hypopharyngeal wall, just above the oesophageal inlet. (jscimedcentral.com)
  • Zenker diverticula are posterior outpouchings of mucosa and submucosa through the cricopharyngeal muscle. (msdmanuals.com)
  • Zenker diverticulum, a pulsion diverticulum of the hypopharynx, is a rare lesion that occurs in elderly populations. (medscape.com)
  • As with the entire gastrointestinal (GI) tract, diverticula of the hypopharynx may be true or false, depending on the number of layers of the viscus wall that are involved. (medscape.com)
  • The history strongly suggests the diagnosis of Zenker diverticulum. (medscape.com)
  • A careful diagnosis is important since there are other conditions that can mimic Zenker's diverticulum. (azvent.com)
  • An esophageal disorder like Zenker's diverticulum needs professional diagnosis and care. (texasadvancedsurgery.com)
  • Is an endoscopic or external diverticulectomy more effective for treatment of Zenker's diverticulum? (enttoday.org)
  • In open surgery, an incision is made in the neck and the diverticulum is either removed or tacked upside down so it is unable to fill and cause problems. (greatlakesent.com)
  • The best surgery for any specific patient depends on medical health, diverticulum size, and neck mobility. (azvent.com)
  • 15. The diverticulum is dissected free until the neck has been visualized and is freely mobile. (insidesurgery.com)
  • 17. Many surgeons now place a GIA or TA endostapler across the neck of the diverticulum and staple off the lumen and then transect the pouch. (insidesurgery.com)
  • Surgery is the usual treatment method, as no medications currently exist for Zenker's diverticulum. (greatlakesent.com)
  • Treatment for Zenker's diverticulum typically involves surgery. (healthline.com)
  • No medications are available that will treat Zenker's diverticulum and surgery is the only treatment that will permanently relieve symptoms. (azvent.com)
  • Endoscopic surgery for Zenker's diverticulum is minimally invasive approach in which the pouch is treated entirely through the mouth without the need for a cut on the skin. (azvent.com)
  • Treatment for Zenker's diverticulum is based on the severity of symptoms. (azvent.com)
  • Understanding the symptoms and risk factors of Zenker's diverticulum is crucial for maintaining digestive wellness. (toplevelbooks.com)
  • Take a few moments to learn more about the signs and symptoms of Zenker's diverticulum, and when you should seek treatment. (texasadvancedsurgery.com)
  • If your food doesn't stay down when you eat, or you have other digestive symptoms, you might have a diverticulum. (texasadvancedsurgery.com)
  • Physical examination findings are rare, although some extremely large diverticula are occasionally palpable on examination. (medscape.com)
  • Zenker's diverticulum is the most common type of esophageal diverticulum. (greatlakesent.com)
  • Specific treatment is usually not required, although resection is occasionally necessary for large or symptomatic diverticula. (msdmanuals.com)
  • It is considered a pulsion diverticulum. (insidesurgery.com)
  • The increased hypopharyngeal intraluminal pressure contributes to the formation of these pulsion diverticula in this prone region [3-5]. (jscimedcentral.com)
  • The aim of this study was to investigate the efficacy and safety of a novel third-space approach, peroral endoscopic septotomy (POES), for treating symptomatic patients with short-septum Zenker's diverticulum. (johnshopkins.edu)
  • This is difficult in patients with a short-septum (≤ 20 mm) diverticulum because the limited anatomical space restricts the operating area for either rigid or flexible endoscopic approaches. (johnshopkins.edu)
  • Methods All patients with short-septum Zenker's diverticulum who were referred for endoscopic repair from September 2017, were considered for the study. (johnshopkins.edu)
  • Conclusions POES may be considered as a potential alternative for the treatment of short-septum Zenker's diverticulum. (johnshopkins.edu)
  • Esophageal motor disorders, including incomplete upper esophageal sphincter opening and increased hypopharyngeal pressures, which may result in Zenker's diverticulum, may be a manifestation of central or peripheral neurologic disease in the elderly. (etsu.edu)
  • Traction diverticula are midesophageal outpouchings of mucosa and submucosa caused by motility disorders or by traction resulting from mediastinal processes. (msdmanuals.com)
  • When Zenker diverticulum is demonstrated on fluoroscopy, clearing of any residual contrast material within the diverticulum should be confirmed, as aspiration can occur. (medscape.com)
  • Aiolfi A, Scolari F, Saino G, Bonavina L. Current status of minimally invasive endoscopic management for Zenker diverticulum. (wjgnet.com)
  • Symptomatic patients who are poor surgical risks and have small Zenker diverticula may be treated satisfactorily by this method. (medscape.com)
  • According to the authors of the study, PSHR is also helpful in identifying patients with recurrent or residual symptomatic Zenker diverticulum after surgical treatment. (medscape.com)
  • Surgical techniques for Zenker's diverticulum: a comparative analysis. (englewoodent.com)
  • Some conditions may potentially delay a liquid bolus transit, such as Zenker diverticulum or a mid-esophageal traction diverticulum, and would be anticipated to do so. (medscape.com)
  • Traction and epiphrenic diverticula are rarely symptomatic, although their underlying cause may be. (msdmanuals.com)
  • The combination of obstruction, pressure and bulging, repeated over thousands of swallows, eventually leads to a permanent bulge or pouch called a Zenker's diverticulum. (azvent.com)
  • Zenker's diverticulum is generally categorized as small, intermediate, or large, depending on the size of the pouch. (azvent.com)
  • Endoscopic stapled diverticulotomy: treatment of choice for Zenker's diverticulum. (englewoodent.com)
  • Background Treatments of Zenker's diverticulum aim to dissect the cricopharyngeal muscle, removing the underlying source of dysfunction. (johnshopkins.edu)
  • Diverticula associated with motility disorders require treatment of the primary disorder. (msdmanuals.com)
  • A study by Schoeff et al suggested that patients with Zenker diverticulum often have a subjective voice handicap and that, as indicated on the voice handicap index, these patients frequently perceive postoperative voice quality improvement. (medscape.com)
  • In this retrospective we evaluate swallowing dysfunction in patients with an established diagnosed of Zenker's diverticulum before and after endoscopic treatment using the SWAL QOL Questionnaire. (jscimedcentral.com)
  • While diverticulitis often makes headlines in the world of digestive disorders, Zenker's diverticulum is a lesser-known condition that can wreak havoc on your digestive tract. (toplevelbooks.com)
  • However, it is named after the pathologist von Zenker, who was the first to describe the pathophysiology and clinical features of this pathology in 1878 [2]. (jscimedcentral.com)
  • 16. Care must be taken to visualize both recurrent laryngeal nerves to gently dissect from the tissue surrounding the diverticulum and to then retract them to avoid injury. (insidesurgery.com)
  • This study reports a significant improvement in swallowing dysfunction after endoscopic treatment of Zenker's diverticulum as measured by the SWAL-QOL questionnaire. (jscimedcentral.com)
  • Flexible endoscopic treatment of Zenker's diverticulum is feasible, but electrocautery and CO2 laser technology carry the risk of collateral thermal injury. (sages.org)
  • Pathogenesis and methods of treatment of Zenker's diverticulum. (englewoodent.com)
  • Zenker's Diverticulum , cricopharyngeal dysfunction . (wakehealth.edu)
  • It was named in 1877 after German pathologist Friedrich Albert von Zenker. (wikipedia.org)
  • This is best identified during swallowing and is best seen on the lateral view, on which the diverticulum is typically noted at the C5-6 level. (medscape.com)
  • A Zenker's diverticulum typically arises due to tightness of the muscle located just below the level of the voice box. (azvent.com)
  • Zenker's Diverticulum in the Elderly: A Neurologic Etiology? (etsu.edu)
  • We suggest that the etiology of Zenker's diverticulum in the elderly may be neurologic in origin. (etsu.edu)
  • Learn more about the causes of diverticula, and what you can do to treat this digestive tract condition. (texasadvancedsurgery.com)
  • 19. An incision is made in the mucosa and the diverticulum is transected cirumferentially distal to the stay sutures. (insidesurgery.com)