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Zenker's Diverticulum: Diagnostic Approach and Surgical Management
Carlos M Nuño-Guzmán1, Daniel García-Carrasco1, Miguel Haro1
1Department of General Surgery, Antiguo Hospital Civil de Guadalajara 'Fray Antonio Alcalde', Guadalajara, Mexico.
Case Reports in Gastroenterology
|March 12, 2015
Summary
Zenker's diverticulum (ZD) is a rare condition causing swallowing difficulties. Surgical treatment, including diverticulectomy and myotomy, effectively resolved symptoms in a patient with a hypopharyngeal diverticulum.
Area of Science:
- Gastroenterology
- Otolaryngology
- Surgical Oncology
Background:
- Zenker's diverticulum (ZD) is a rare outpouching at the pharyngoesophageal junction.
- Pathophysiology involves cricopharyngeus muscle dysfunction and increased hypopharyngeal pressure.
- Current management options lack a consensus on the optimal approach.
Observation:
- A 61-year-old patient presented with a 7-year history of progressive dysphagia, odynophagia, and regurgitation.
- Symptoms worsened over months, leading to significant weight loss.
- Esophagogram and endoscopy confirmed a Zenker's diverticulum with erythematous mucosa.
Findings:
- Surgical intervention via diverticulectomy and myotomy was performed under general anesthesia.
- The patient experienced an uneventful recovery with adequate oral intake.
- Symptoms were resolved at 4-month follow-up.
Implications:
- Diverticulectomy combined with myotomy is an effective treatment for Zenker's diverticulum.
- This surgical approach can lead to complete symptom resolution and improved quality of life.
- Further research may clarify the optimal surgical strategy for ZD management.
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