Zenker's diverticulum: Difference between revisions
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==Background== | ==Background== | ||
*An out-pouching of the pharyngeal mucosa and submucosa through the cricopharyngeus muscle | *An out-pouching of the pharyngeal mucosa and submucosa through the cricopharyngeus muscle | ||
*Classified as ''false'' diverticulum in that it does not contain all layers of the intestinal wall, but only the mucosa and submucosa | |||
== | ==Clinical Features== | ||
*[[Dysphagia]] | |||
*Globus sensation | |||
*Regurgitation of ''undigested'' food | |||
*Halitosis | |||
==Differential== | ==Differential Diagnosis== | ||
{{Template:Dysphagia DDX}} | |||
==Evaluation== | ==Evaluation== | ||
*Barium swallow | |||
*Rule out emergent causes of symptoms | |||
==Management== | ==Management== | ||
*Often not treated, but surgery considered in some cases of particularly symptomatic diverticula<ref>https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/esophageal-diverticula</ref> | |||
==Disposition== | |||
*Discharge | |||
==See Also== | |||
[[Category:GI]] | |||
Latest revision as of 16:56, 30 September 2019
Background
- An out-pouching of the pharyngeal mucosa and submucosa through the cricopharyngeus muscle
- Classified as false diverticulum in that it does not contain all layers of the intestinal wall, but only the mucosa and submucosa
Clinical Features
- Dysphagia
- Globus sensation
- Regurgitation of undigested food
- Halitosis
Differential Diagnosis
Dysphagia
- Oropharyngeal dysphagia
- CVA
- Parkinson's disease
- Brain stem tumors
- Degenerative disease - ALS, MS, Huntington's
- Postinfectious - polio, syphilis
- Peripheral neuropathy
- Myasthenia gravis
- Polymyositis, dermatomyositis
- Muscular dystrophy
- Esophageal dysphagia
- Achalasia
- Diffuse esophageal spasm
- Ingested foreign body
- Esophageal web
- Malignancy, mediastinal masses
- Schatzki Ring
- Scleroderma
- Strictures - peptic, radiation, chemical, medication-induced
- Vascular compression
- Zenker's diverticulum
Evaluation
- Barium swallow
- Rule out emergent causes of symptoms
Management
- Often not treated, but surgery considered in some cases of particularly symptomatic diverticula[1]
Disposition
- Discharge