Related Experiment Video
Updated: May 23, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Endoscopic Treatment and Considerations for a Rare of Killian-Jamieson Diverticulum: A Case Report
Guoyao Sun1, Wen Jia1, Zhuo Yang1
1Department of Endoscopy General Hospital of Northern Theater Command Shenyang Liaoning China.
Background:
Pharyngoesophageal diverticulum, including the most common Zenker's diverticulum, Killian-Jamieson diverticulum, and the rarer Laimer's diverticulum, require accurate differentiation for proper treatment. This case report explores the endoscopic features and the diagnostic and therapeutic value of endoscopic ultrasound (EUS) in the management of Killian-Jamieson diverticulum.
Case Presentation:
A 57-year-old woman presented with dysphagia for solids over the past three months. Esophagogastroduodenoscopy (EGD) revealed an esophageal diverticulum located below the upper esophageal sphincter. EUS measured the diverticulum to be 1.0 cm by 1.4 cm and confirmed the absence of muscularis propria, thereby ruling out Laimer's diverticulum. The patient underwent flexible endoscopic septum division (FESD) without any adverse events. A barium esophagram three months post-surgery indicated a left-sided Killian-Jamieson diverticulum.
Conclusion:
This case highlights the importance of combining endoscopic features with barium swallow and EUS for accurate diagnosis of Killian-Jamieson diverticulum. The results suggest that such an integrated diagnostic approach enhances diagnostic accuracy and guides treatment, offering insights into the management of pharyngoesophageal diverticulum.
Related Concept Videos
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Procedures II: Colonoscopy
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Endoscopic Procedures V: ERCP
Patient...

