Esophageal diverticulae - case presentation on Zenker diverticulum. Pathophysiology, management and discussion. Operative and non operative strategies

9. • CBC & Biochemistry – Normal
• Barium Swallow – Large filling defect(pouch) in the upper esophagus with normal
Lower end. Good gastric fill
• Upper GI Endoscopy – LARGE CRICOPHARYNGEAL WIDE MOUTH
DIVERTICULUM with Esophagitis (LA Gr B), UES – Normal, Hiatus Hernia,
Pangastritis and mild Duodenitis
• HRCT Thorax – Calcified enlarged subcarinal and bilateral hilar and right
paratracheal lymphnodes. Findings in favour of sarcoidosis / silicosis / tuberculosis.
Soft tissue attenuating lesion of size 33 x 23 mm seen inside the cavity in posterior
segment of right upper lobe – Findings in favour of aspergilloma
Centriacinar and paraseptal emphysema in bilateral upper lobes. Pulmonary trunk
appears dilated with narrowing of intraparenchymal vasculature – S/O Pulm artery
hypertension
• PFT – Obstruction

29. • SURGICAL

32. Disadvantages:
•Unable to perform in some
patients
•Does not remove the
diverticulum
•No tissue for pathologic review
•Not used in septum <2cm
•Recurrence

35. • Disadvantages:
• Longer surgical intervention
• Longer hospitalization
• Delayed alimentation