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Subscribe, like, share and hit that bell button for new videos👍 ZENKER'S DIVERTICULUM: Causes- Symptoms- Treatment What causes Zenker's diverticulum? The cause of Zenker's diverticulum is abnormal tightening of the upper esophageal sphincter (also called the cricopharyngeus muscle). As a result of tightening of this muscle, pressure builds along the wall of the throat above this sphincter muscle. How do you fix Zenker's diverticulum? Zenker's diverticular pouch Treatment for symptomatic ZD can be surgical or endoscopic. The surgical approach involves an external neck incision with CP myotomy (diverticulotomy), with or without pouch intervention (inversion, diverticulopexy or diverticulectomy). Is Zenker's diverticulum rare? Zenker's diverticulum is rare, occurring in less than 0.01% of the population. How do I know if I have Zenker's diverticulum? Other signs and symptoms of Zenker's diverticulum include: regurgitating food or oral medication. bad breath (halitosis) hoarse voice. persistent cough. swallowing liquids or food matter “down the wrong pipe” (aspiration) sensation of a lump in your throat. How long does Zenker's diverticulum surgery take? This endoscopic procedure is performed under general anesthesia and may take 20 minutes to 1 hour depending on anatomic variations within the throat. Patients are usually discharged home 3-4 hours following the procedure. Diet: You may have clear liquids by mouth once you have awakened from anesthesia. Is Zenker diverticulum congenital? Upper (pharyngoesophageal, Killian-Jamieson, or Zenker), middle, or lower (epiphrenic). Besides anatomical location, several other ways to classify diverticula of the esophagus and hypopharynx exist. Congenital diverticula are diverticula that are present at birth, while acquired diverticula develop later in life. What is Zenker's Diverticulectomy? A Zenker's diverticulum is an outpouching that occurs at the junction of the lower part of the throat and the upper portion of the esophagus. The pouch forms because the muscle that divides the throat from the esophagus, the cricopharyngeal (CP) muscle, fails to relax during swallowing. What does Zenker's diverticulum feel like? What are the symptoms of Zenker's diverticulum? Symptoms include difficulty swallowing, feeling swallowed material sticking in the throat, regurgitation, weight loss, bad breath, choking, and coughing. Swallowed material may accumulate in the diverticulum and be regurgitated long after a meal. How is it diagnosed? Talk to your doctor if you or someone you care for is experiencing symptoms of Zenker’s diverticulum. Zenker’s diverticulum is diagnosed using a test called a barium swallow. A barium swallow is a special X-ray that highlights the inside of your mouth, pharynx, and esophagus. A barium swallow fluoroscopy allows your doctor to see how you swallow in motion. What are the complications? If left untreated, Zenker’s diverticulum can increase in size, making your symptoms worse. Over time, severe symptoms such as difficulty swallowing and regurgitation can make it difficult to stay healthy. You might experience malnutrition. Zenker's Diverticulum complications Aspiration is a symptom of Zenker’s diverticulum. It occurs when you inhale food or other matter into the lungs instead of swallowing it into the esophagus. Complications of aspiration include aspiration pneumonia, an infection that occurs when food, saliva, or other matter get trapped in your lungs. Other rare complications of Zenker’s diverticulum include: esophageal obstruction (choking) hemorrhage (bleeding) vocal cord paralysis squamous cell carcinoma fistulas #medicine #medical #doctor #treatment #esophagus #zenkersdiverticulum #usmle