0 Esophageal diverticulum

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Esophageal diverticulum





 Zenker's Diverticulum : 

  • Male predominance , > 50 years
  • If enlarges then usually goes to left side.
  • MC presentation : Dysphagia (Intermittent)
  • Earliest presentation : Regurgitation (Also with Achlasia and GERD )



Note :
In Achlasia and Zenker - Old food regurgitates
In GERD - Fresh food regurgitates.

Sign : Swelling , changing size , gurgling sound - Boyce's Sign (Actual it is for laryngocele)

Investigation of choice : Barium swallow.

Treatment :
  1. Diverticulectomy + Cricopharyngomyotomy
  2. Botulinum toxin in cricopharynx (its temporary)
  3. Diverticulopexy
  4. Dohlman's procedure
  5. Medical : DOC - Calcium channel block - Nifedipine.


Causes of Intermittent Dysphagia :
  1. Zenker's diverticulum
  2. Eosinophilic esophagitis.
  3. Diffuse esophageal spasm






MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel

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