Zenker Diverticulum: Does Size Correlate with Preoperative Symptoms?
Jhon F Martinez-Paredes1, Razan Alfakir1, Jan L Kasperbauer2
1Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Jacksonville, Florida, United States.
International Archives of Otorhinolaryngology
|July 18, 2022
Summary
Zenker diverticulum (ZD) symptoms like dysphagia and choking correlate with larger pouch sizes (>1cm). However, dysphonia may indicate a smaller ZD (<1cm), warranting prompt evaluation.
Area of Science:
- Gastroenterology
- Otolaryngology
- Radiology
Background:
- Zenker diverticulum (ZD) typically affects older adults.
- Symptomatic patients often defer treatment, impacting quality of life.
Purpose of the Study:
- To investigate the relationship between preoperative symptoms and Zenker diverticulum size.
Main Methods:
- Retrospective study of 165 patients over 11 years.
- Data collected on symptoms, medical history, and radiologic findings.
- Diverticula stratified into small (<1cm), medium (1-3cm), and large (>3cm).
Main Results:
- Dysphagia and choking were associated with medium and large ZD.
- Dysphonia was significantly more frequent in patients with small ZD (<1cm).
Conclusions:
- Upper GI symptoms like dysphagia and choking suggest ZD >1cm and require evaluation.
- Dysphonia may indicate a small ZD (<1cm), necessitating fluoroscopic assessment if no other cause is evident.
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