Sandbox:ajay: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 7: | Line 7: | ||
●difficulty in swallowing because of abnormalities of the upper esophageal sphincter (UES) | ●difficulty in swallowing because of abnormalities of the upper esophageal sphincter (UES) | ||
The consequences of numerous studies illustrate the kinds of observations made in patients with ZD: | * The consequences of numerous studies illustrate the kinds of observations made in patients with ZD: | ||
* a variety of situations predisposing to herniation within Killian's triangle, inclusive of atypical esophageal motility, esophageal shortening, or disorders related to altered u.s.function. | * a variety of situations predisposing to herniation within Killian's triangle, inclusive of atypical esophageal motility, esophageal shortening, or disorders related to altered u.s.function. | ||
* increased intrabolus pressures found in patients with ZD can be secondary to impaired bolus passage in combination with or as a result of gastroesophageal reflux disease. | * increased intrabolus pressures found in patients with ZD can be secondary to impaired bolus passage in combination with or as a result of gastroesophageal reflux disease. | ||
* An unanswered question is how spasms of | * An unanswered question is how spasms of UES provoked by acid reflux should cause improved intrabolus pressures during swallowing, given that swallowing is often distinct from episodes of acid reflux disorder. | ||
Revision as of 13:14, 23 October 2017
- Zenker's diverticula (ZD) is thought to be as a result of motor abnormalities of the esophagus.
- ZD emerge from a defect within the Killian's triangle that's a natural place of weak point of the muscular wall of the hypopharynx.
- Killian's triangle is formed by the oblique fibers of the inferior pharyngeal constrictor muscle and the cricopharyngeal sphincter.
- chronic strain on the Killian's triangle leads to an Evagination of the sphincter, which may be because of causes:
●high pressures in the food bolus in the course of swallowing ●difficulty in swallowing because of abnormalities of the upper esophageal sphincter (UES)
- The consequences of numerous studies illustrate the kinds of observations made in patients with ZD:
- a variety of situations predisposing to herniation within Killian's triangle, inclusive of atypical esophageal motility, esophageal shortening, or disorders related to altered u.s.function.
- increased intrabolus pressures found in patients with ZD can be secondary to impaired bolus passage in combination with or as a result of gastroesophageal reflux disease.
- An unanswered question is how spasms of UES provoked by acid reflux should cause improved intrabolus pressures during swallowing, given that swallowing is often distinct from episodes of acid reflux disorder.