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ZENKER DIVERTICULUM (Right)TRACTION DIVERTICULA (Left) EPIPHRENIC…
ZENKER DIVERTICULUM (Right)TRACTION DIVERTICULA (Left) EPIPHRENIC DIVERTICULA (Down)
Etiology:
Disordered cricopharyngeal motor function with or without Reflux esophagitis
(GERD)
Clinical picture:
Dysphagia and food regurgitation
Mass in the neck
May reach several centimeters and accumulate
food
Aspiration pneumonia is a significant risk
false diverticula
the only true diverticulum in the body is Meckel's diverticulum
mid portion of esophagus
Due to
motor dysfunction
congenital.
wall weakening as seen in TB of mediastinal LNs
Fibrosis in the mediastinal lymph nodes leads to pulling the esophageal wall
Asymptomatic.
above the LES
discoordination of peristalsis and LES
relaxation which means that the LES will relax, but not because of the food bolus
lead to nocturnal regurgitation of massive amounts of fluid (the fluid accumulate in the diverticulum)
DIAGNOSIS:
Barium swallowing