How is Zenker diverticulum diagnosed?
A barium swallow is the most effective way to diagnose a Zenker’s diverticulum. The barium solution fills the pouch in the esophageal wall so that it can be seen on an X-ray.
Which procedure is the most helpful in the diagnosis of Zenker’s diverticulum?
A barium swallow study is the mainstay in diagnosis of Zenker’s diverticulum, which allows determination of its size and location, but careful endoscopic evaluation is mandatory to rule out malignancy 6 12.
What is the classic radiographic finding for Zenker’s diverticulum?
The fluoroscopic barium esophagram is the primary tool for the diagnosis of Zenker diverticulum. (See the image below.) The diverticulum appears as an outpouching arising from the midline of the posterior wall of the distal pharynx near the pharyngoesophageal junction.
What type of dysphagia is Zenker’s diverticulum?
Zenker’s Diverticulum is an esophageal pouch that develops in the upper esophagus that causes debilitating dysphagia (difficulty swallowing) and regurgitation of food.
Is Zenker’s diverticulum rare?
Zenker’s diverticulum is rare, occurring in less than 0.01% of the population. It’s found more often in women than in men, usually those 60 years old or more. This disorder can be associated with hiatal hernias, esophageal spasm, gastroesophageal reflux disease, and, rarely, cancer of the esophagus.
Does Zenker’s diverticulum cause weight loss?
Persistent cough — Respiratory symptoms, such as cough, are common with Zenker’s diverticulum. Weight loss — This may result from not digesting all of one’s food.
What are the symptoms of Zenker’s diverticulum?
Patients with Zenker’s diverticulum have difficulty swallowing, and describe food sticking and a sensation of fullness in the neck. They may have no problem swallowing liquids, but often have difficulty swallowing solid foods. Often, 20 to 30 minutes after attempting to swallow, they’ll cough out undigested food.
What is zenzenker diverticulum (pharyngeal pouch)?
Zenker diverticulum, also known as a pharyngeal pouch, is a posterior outpouching of the hypopharynx, just proximal to the upper esophageal sphincter through a weakness in the muscle layer called the Killian dehiscence. Epidemiology More than 5…
What is the best staging for the Zenker diverticulum?
Staging of the Zenker diverticulum is imperative to the overall evaluation. There are 3 staging systems: Lahey, Morton, and Van Overbeek staging systems. Only one of the 3 may be used. The staging is typically reliant on the size of the pouch in which the bigger the size, the higher the staging.
What are zenzenker diverticulum Killian-Jamieson and Montgomery tubercles?
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