Zenker's diverticulum: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Dysphagia | *[[Dysphagia]] | ||
*Globus sensation | *Globus sensation | ||
*Regurgitation of ''undigested'' food | *Regurgitation of ''undigested'' food | ||
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==Differential Diagnosis== | ==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== | ==Disposition== | ||
*Discharge | |||
==See Also== | ==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