ESOPHAGEAL DIVERTICULUM Flashcards
is an out-pouching of mucosa and submucosa that protrudes through a weak portion of the musculature of the esophagus.
Esophageal Diverticulum
Diverticular may occur in one of the three areas of the esophagus. What are these?
*Pharyngoesophageal
*Midesophageal
*Epiphrenic
What is the most common type of diverticulum?
Zenker Diverticulum (ZD)
what area is Zenker Diverticulum located?
Pharyngoesophageal Area
What age is Zenker Diverticulum usually seen?
People older than 60 years of age
is the occurrence of numerous small diverticula associated with a stricture in the upper esophagus.
Intramural Diverticulosis
may determine the exact nature and location of a diverticulum.
Barium Swallow
To rule out a motor disorder for patients with epiphrenic diverticula
Manometric studies may be performed.
This involves removing the diverticulum surgically, usually through an incision of the neck.
Diverticulectomy
Zenker Diverticulum can be treated by
Endoscopy (rigid or flexible) or open surgery.
This is a minimally invasive procedure that divides the tissue between the diverticulum and esophagus, allowing food to drain from the diverticulum.
Endoscopic Septotomy
This involves repositioning the diverticulum by suspending and stitching it to the esophageal wall to prevent food and liquid from acumulating.
Diverticulopexy
is often performed to relieve spasticity of the cricopharyngeal muscle
Cricopharyngeal Myotomy
After surgery, the diet begins with
liquid and is progressed as tolerated.