Pharyngoesophageal diverticulum or posterior hypopharyngeal diverticulum/outpouching
Definitions
Outpouching of mucosa through Killian triangle (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
Kröner PT et al: Will there be light at the end of this tunnel? Gastrointest Endosc. 91(1):169-71, 2020
Yam J et al: Esophageal diverticula. StatPearls, 2020
Yang J et al: An international study on the use of peroral endoscopic myotomy in the management of Zenker's diverticulum. Gastrointest Endosc. 91(1):163-8, 2020
Le Mouel JP et al: Zenker's diverticulum. N Engl J Med. 377(22):e31, 2017
Johnson CM et al: Zenker diverticulum--which surgical approach is superior? JAMA Otolaryngol Head Neck Surg. 142(4):401-3, 2016
Prisman E et al: Zenker diverticulum. Otolaryngol Clin North Am. 46(6):1101-11, 2013
Fama AF et al: Harmonic scalpel in the treatment of Zenker's diverticulum. Laryngoscope. 119(7):1265-9, 2009
Grant PD et al: Pharyngeal dysphagia: what the radiologist needs to know. Curr Probl Diagn Radiol. 38(1):17-32, 2009
Hillel AT et al: Evolution of endoscopic surgical therapy for Zenker's diverticulum. Laryngoscope. 119(1):39-44, 2009
Osammor JY: Excision of Zenker's diverticulum: a new surgical approach. Clin Otolaryngol. 34(1):85-6, 2009
Skrobić OM et al: Current concepts in the anatomy and origin of pharyngeal diverticula. Acta Chir Iugosl. 56(1):17-24, 2009
Syamal MN et al: Operative adaptation for endoscopic identification of Zenker's diverticulum. Laryngoscope. 119(5):861-3, 2009
Ibrahim IM: Zenker diverticulum. Arch Surg. 138(1):111, 2003
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
Rubesin SE et al: Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol. 177(1):85-9, 2001
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
Frieling T et al: Upper esophageal sphincter function in patients with Zenker's diverticulum. Dysphagia. 3(2):90-2, 1988
Bowdler DA et al: Carcinoma arising in posterior pharyngeal pulsion diverticulum (Zenker's diverticulum). Br J Surg. 74(7):561-3, 1987
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References
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KEY FACTS
Terminology
Imaging
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TERMINOLOGY
Synonyms
Pharyngoesophageal diverticulum or posterior hypopharyngeal diverticulum/outpouching
Definitions
Outpouching of mucosa through Killian triangle (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
Kröner PT et al: Will there be light at the end of this tunnel? Gastrointest Endosc. 91(1):169-71, 2020
Yam J et al: Esophageal diverticula. StatPearls, 2020
Yang J et al: An international study on the use of peroral endoscopic myotomy in the management of Zenker's diverticulum. Gastrointest Endosc. 91(1):163-8, 2020
Le Mouel JP et al: Zenker's diverticulum. N Engl J Med. 377(22):e31, 2017
Johnson CM et al: Zenker diverticulum--which surgical approach is superior? JAMA Otolaryngol Head Neck Surg. 142(4):401-3, 2016
Prisman E et al: Zenker diverticulum. Otolaryngol Clin North Am. 46(6):1101-11, 2013
Fama AF et al: Harmonic scalpel in the treatment of Zenker's diverticulum. Laryngoscope. 119(7):1265-9, 2009
Grant PD et al: Pharyngeal dysphagia: what the radiologist needs to know. Curr Probl Diagn Radiol. 38(1):17-32, 2009
Hillel AT et al: Evolution of endoscopic surgical therapy for Zenker's diverticulum. Laryngoscope. 119(1):39-44, 2009
Osammor JY: Excision of Zenker's diverticulum: a new surgical approach. Clin Otolaryngol. 34(1):85-6, 2009
Skrobić OM et al: Current concepts in the anatomy and origin of pharyngeal diverticula. Acta Chir Iugosl. 56(1):17-24, 2009
Syamal MN et al: Operative adaptation for endoscopic identification of Zenker's diverticulum. Laryngoscope. 119(5):861-3, 2009
Ibrahim IM: Zenker diverticulum. Arch Surg. 138(1):111, 2003
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
Rubesin SE et al: Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol. 177(1):85-9, 2001
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
Frieling T et al: Upper esophageal sphincter function in patients with Zenker's diverticulum. Dysphagia. 3(2):90-2, 1988
Bowdler DA et al: Carcinoma arising in posterior pharyngeal pulsion diverticulum (Zenker's diverticulum). Br J Surg. 74(7):561-3, 1987
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