Zenker's diverticulum natural history, complications and prognosis: Difference between revisions
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{{Zenker's diverticulum}} | {{Zenker's diverticulum}} | ||
{{CMG}} {{AE}} | {{CMG}} {{AE}} | ||
==Overview== | ==Overview== | ||
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==Natural History== | ==Natural History== | ||
*Symptoms of Zenker's diverticulum slowly start as a<ref name="urlZenkers diverticulum: exploring treatment options">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3773964/ |title=Zenker's diverticulum: exploring treatment options |format= |work= |accessdate=}}</ref> | *Symptoms of Zenker's diverticulum slowly start as a<ref name="urlZenkers diverticulum: exploring treatment options">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3773964/ |title=Zenker's diverticulum: exploring treatment options |format= |work= |accessdate=}}</ref> | ||
** | ** Oropharyngeal dysphagia progressing from solids to liquids | ||
** Regurgitation of undigested food | ** Regurgitation of undigested food from the diverticular sac | ||
** Pharyngeal stasis of secretion | ** Pharyngeal stasis of secretion | ||
** Chronic aspiration | ** Chronic aspiration | ||
** Halitosis | ** Halitosis | ||
** Chronic cough | |||
** Sensation of a lump in the throat | ** Sensation of a lump in the throat | ||
** Hoarseness | ** Hoarseness | ||
| Line 21: | Line 19: | ||
*The patient may note food on the pillow upon awakening in the morning. | *The patient may note food on the pillow upon awakening in the morning. | ||
*Although small diverticula may not cause symptoms, larger diverticula usually are symptomatic. | *Although small diverticula may not cause symptoms, larger diverticula usually are symptomatic. | ||
*Both the inability of the sphincter to fully open and the extrinsic compression from the pouch itself are likely to explain the dysphagia experienced by patients. | *Both the inability of the sphincter to fully open and the extrinsic compression from the pouch itself are likely to explain the dysphagia experienced by patients. | ||
*In patients with very large diverticula, a gurgling swelling in the neck can occasionally be detected on palpation. | |||
==Complications== | ==Complications== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Natural History
- Symptoms of Zenker's diverticulum slowly start as a[1]
- Oropharyngeal dysphagia progressing from solids to liquids
- Regurgitation of undigested food from the diverticular sac
- Pharyngeal stasis of secretion
- Chronic aspiration
- Halitosis
- Chronic cough
- Sensation of a lump in the throat
- Hoarseness
- Cervical borborygmi.
- The patient may note food on the pillow upon awakening in the morning.
- Although small diverticula may not cause symptoms, larger diverticula usually are symptomatic.
- Both the inability of the sphincter to fully open and the extrinsic compression from the pouch itself are likely to explain the dysphagia experienced by patients.
- In patients with very large diverticula, a gurgling swelling in the neck can occasionally be detected on palpation.
Complications
- Complications of the Zenker's diverticulum includes[2][3][4][5]
- Aspiration pneumonia
- Bleeding of the diverticulum
- Ulceration of the diverticulum
- Compression of the trachea and esophageal obstruction with large diverticula
- Varey rarely Squamous cell carcinoma of the diverticulum
- Perforation of the diverticulum during the endoscopy and hence scopes with side viewing should be used to prevent perforation.
Prognosis
References
- ↑ "Zenker's diverticulum: exploring treatment options".
- ↑ "Long-term survival following diverticulectomy for cancer in pharyngoesophageal (Zenker's) diverticulum. - PubMed - NCBI".
- ↑ "Esophageal diverticula and cancer. - PubMed - NCBI".
- ↑ "The treatment of pharyngoesophageal diverticulum: the simple and complex. - PubMed - NCBI".
- ↑ "Carcinoma arising in posterior pharyngeal pulsion diverticulum (Zenker's diverticulum). - PubMed - NCBI".