Zenker's diverticulum (pharyngeal pouch, weakening of the esophageal wall)


Description

A pouch that develops in the lining of the lower throat. With swallowing, some food enters the pouch. Food can sit in the pouch for many hours. This can cause bad breath, contents to spill into the lungs leading to aspiration pneumonia and/or spitting up undigested food. Pills can also become lodged in the pouch. The disorder is rare and generally occurs in people over age 50.

Symptoms

Spitting up undigested food many hours after eating, difficulty swallowing, weight loss, painful swallowing, cough, multiple bouts of pneumonia.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. An esophagram and/or EGD (esophagogastroduodenoscopy) is done to confirm the diagnosis.

Tests:
CT Scan

Other Specific Tests: Esophagram, EGD (Esophagogastroduodenoscopy)

Specialists:
Gastroenterology, Thoracic Surgery, Pediatric Gastroenterology

Treatment

Therapy depends on the severity of the defect and symptoms being experienced. Repair of the pouch can be done through an endoscope or with conventional surgery.

Previous Post Next Post