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Pharyngoesophageal (Zenker's) diverticulum: case report
1Department of Surgery, College of Health Sciences, University of Nairobi.
East African Medical Journal
|October 17, 2002
Summary
Pharyngoesophageal pulsion diverticulum, a common esophageal condition, causes swallowing difficulties and aspiration. Surgical treatment, including diverticulectomy and myotomy, effectively resolved symptoms in an elderly patient.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Pharyngoesophageal pulsion diverticulum is the most prevalent type of esophageal diverticula.
- It commonly presents with dysphagia, regurgitation, neck gurgling, and aspiration.
Observation:
- An 80-year-old female patient experienced progressive dysphagia, weight loss, and recurrent pneumonitis.
- Diagnostic imaging revealed a pharyngoesophageal diverticulum with a wide ostium on upper endoscopy.
Findings:
- The patient underwent surgical pharyngoesophageal diverticulectomy and cricopharyngeal myotomy under general anesthesia.
- Complete recovery and total relief of dysphagia were achieved post-surgery.
Implications:
- Surgical intervention is a viable and effective treatment for symptomatic pharyngoesophageal pulsion diverticulum.
- This case highlights successful management of a common esophageal condition in an elderly patient.