Which of the following is TURE about Zenker's diveiculum:
Answer is C (Treatment is Simple excision) Zenker's diveiculum may he managed by simple excision of the pouch. Zenker's diveiculum is usually symptomatic and not asymptomatic Characteristic symptoms of Zenker's Diveiculum Intermittent dysphagia Regurgitation Gurgling sound in neck Halitosis Zenker's Diveiculum occurs in the pharynx and not in the esophagus Zenker's diveiculum or llypopharyngeal Diveiculum' is a `Pulsion diveiculum' where pharyngeal mucosa herniates through the Killan's dehiscence e.(Killan's dehiscencedeg is a weak area of pharynx between two pas of inferior constrictor musclee) Usually seen in elderly (after 60 years of age)e Herniation stas in midline and lies first behind the esophagus and then to its left. (it occurs in pharynx and not in esophagus). Mouth of the sac is wider than the opening of esophagus and food preferentially enters the pouch. Dysphagia is the prominent manifestation. It appears after a few swallows. When pouch gets filled with food, it presses on the esophagus. Gurgling sound is produced on swallowine Food may regurgitate at night when patient is recumbent causing cough and aspiration pneumonia Patient is malnourished due to dysphagia Zenker s diveiculum is usually seen in elderly and not in children. Condition is usually sen after 60 years of age (elderly) Zenker's diveiculum may be managed by simple excision o fthe pouch Treatment options for Zenker's diveiculum Simple Excision of pouch Excision of pouch and cricopharyngeal myotomydeg Dahlman's proceduredeg :Done in poor-risk debilitated patients. The paition wall between esophagus and pouch is divided by diathermy.
It is asymptomatic
Occurs in the mid-esophagus
Treatment is simple excision
It occurs in children