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Zenker Diverticulum
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Pharyngoesophageal diverticulum or posterior hypopharyngeal diverticulum/outpouching
            • Definitions

              • Outpouching of mucosa through Killian triangle, an area of muscular weakness between transverse fibers of cricopharyngeus and oblique fibers of lower inferior constrictor

            IMAGING

            • General Features

              • Radiographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Prisman E et al: Zenker diverticulum. Otolaryngol Clin North Am. 46(6):1101-11, 2013
                                      2. Fama AF et al: Harmonic scalpel in the treatment of Zenker's diverticulum. Laryngoscope. 119(7):1265-9, 2009
                                      3. Grant PD et al: Pharyngeal dysphagia: what the radiologist needs to know. Curr Probl Diagn Radiol. 38(1):17-32, 2009
                                      4. Hillel AT et al: Evolution of endoscopic surgical therapy for Zenker's diverticulum. Laryngoscope. 119(1):39-44, 2009
                                      5. Osammor JY: Excision of Zenker's diverticulum: a new surgical approach. Clin Otolaryngol. 34(1):85-6, 2009
                                      6. Skrobić OM et al: Current concepts in the anatomy and origin of pharyngeal diverticula. Acta Chir Iugosl. 56(1):17-24, 2009
                                      7. Syamal MN et al: Operative adaptation for endoscopic identification of Zenker's diverticulum. Laryngoscope. 119(5):861-3, 2009
                                      8. Sakai P: Endoscopic treatment of Zenker's diverticulum. Gastrointest Endosc. 65(7):1054-5, 2007
                                      9. Ibrahim IM: Zenker diverticulum. Arch Surg. 138(1):111, 2003
                                      10. Postma GN: RE: endoscopic diverticulotomy of Zenker's diverticulum: management and complications (Dysphagia 17:34-39). Dysphagia. 18(3):227; author reply 227-8, 2003
                                      11. Rubesin SE et al: Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol. 177(1):85-9, 2001
                                      12. Sydow BD et al: Radiographic findings and complications after surgical or endoscopic repair of Zenker's diverticulum in 16 patients. AJR Am J Roentgenol. 177(5):1067-71, 2001
                                      13. Frieling T et al: Upper esophageal sphincter function in patients with Zenker's diverticulum. Dysphagia. 3(2):90-2, 1988
                                      14. Bowdler DA et al: Carcinoma arising in posterior pharyngeal pulsion diverticulum (Zenker's diverticulum). Br J Surg. 74(7):561-3, 1987
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Pharyngoesophageal diverticulum or posterior hypopharyngeal diverticulum/outpouching
                                                • Definitions

                                                  • Outpouching of mucosa through Killian triangle, an area of muscular weakness between transverse fibers of cricopharyngeus and oblique fibers of lower inferior constrictor

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Prisman E et al: Zenker diverticulum. Otolaryngol Clin North Am. 46(6):1101-11, 2013
                                                                          2. Fama AF et al: Harmonic scalpel in the treatment of Zenker's diverticulum. Laryngoscope. 119(7):1265-9, 2009
                                                                          3. Grant PD et al: Pharyngeal dysphagia: what the radiologist needs to know. Curr Probl Diagn Radiol. 38(1):17-32, 2009
                                                                          4. Hillel AT et al: Evolution of endoscopic surgical therapy for Zenker's diverticulum. Laryngoscope. 119(1):39-44, 2009
                                                                          5. Osammor JY: Excision of Zenker's diverticulum: a new surgical approach. Clin Otolaryngol. 34(1):85-6, 2009
                                                                          6. Skrobić OM et al: Current concepts in the anatomy and origin of pharyngeal diverticula. Acta Chir Iugosl. 56(1):17-24, 2009
                                                                          7. Syamal MN et al: Operative adaptation for endoscopic identification of Zenker's diverticulum. Laryngoscope. 119(5):861-3, 2009
                                                                          8. Sakai P: Endoscopic treatment of Zenker's diverticulum. Gastrointest Endosc. 65(7):1054-5, 2007
                                                                          9. Ibrahim IM: Zenker diverticulum. Arch Surg. 138(1):111, 2003
                                                                          10. Postma GN: RE: endoscopic diverticulotomy of Zenker's diverticulum: management and complications (Dysphagia 17:34-39). Dysphagia. 18(3):227; author reply 227-8, 2003
                                                                          11. Rubesin SE et al: Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol. 177(1):85-9, 2001
                                                                          12. Sydow BD et al: Radiographic findings and complications after surgical or endoscopic repair of Zenker's diverticulum in 16 patients. AJR Am J Roentgenol. 177(5):1067-71, 2001
                                                                          13. Frieling T et al: Upper esophageal sphincter function in patients with Zenker's diverticulum. Dysphagia. 3(2):90-2, 1988
                                                                          14. Bowdler DA et al: Carcinoma arising in posterior pharyngeal pulsion diverticulum (Zenker's diverticulum). Br J Surg. 74(7):561-3, 1987