GI Quiz 1 - Eso. Diverticula

Question 1

What is an Eso. Diverticula?

Answer 1

Outpouching of mucosa through the muscular layer of the Eso.

Question 2

What are 3 types of Diverticula?

Answer 2

1. Zenker’s/Pharyngeal Diverticula
2. Midesophageal/Traction Diverticula
3. Epiphrenic Diverticula

Question 3

What is a Zenker’s divert.?

Answer 3

Pharyngeal diverticula that’s post. outpouching of mucosa & submucosa through cricopharyngeal mm

Question 4

What is an Epiphrenic Divert.?

Answer 4

Just above diaphragm, usu. accompanies motility disorder (Achalasia &/ Spasm)

Question 5

What causes Zenker’s vs. Midesophageal Divert?

Answer 5

Zenker’s: incoordination btwn phayngeal propulsions & cricopharyngeal relaxation

Mideso: traction from mediastinal inflammatory lesion, 2ndary by motility disorders

Question 6

Which of the 3 diverticula typically has SSx Vs. asymptomatic?

Answer 6

Zenker’s = SSx

Mideso. & Epiphrenic = asymptomatic

Question 7

What are the SSx of Zenker’s?

Answer 7

Fills w/food that might be regurg. when pt bends/lies down
Aspiration pneumonitis (nocturnal regurg)
RARE: lrg pouch -> dysphagia, palpable neck mass

Question 8

What is the common workup for diverticula?

Answer 8

Videotaped barium swallow

Question 9

What other Eso./Swallowing disorder could lead to Zenker’s Divert.?

Answer 9

Cricopharyngeal Incoordination