Zenker's Diverticulum - Retroflexed Image of the Nasopharynx

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added:
15 years ago
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6110
specialty:
Gastroenterology

Case description

Retroflexed image showing the Nasopharynx. Canalization of the esophagus with Zenker diverticulum is not an easy task, in our patient some, several attempts to bring forward the esophagus was performed, until we succeed in passing an thin endoscope. Patients present with upper esophageal dysphagia, regurgitation of undigested food, aspiration, noisy deglutition, halitosis, and changes in voice. Mild-to-moderate weight loss is frequent. Aspiration and pneumonia are potentially serious complications. Although the diverticulum can reach sizes of 15 cm or more, it is rarely palpable. Squamous cell carcinoma has been found in the diverticulum in less than 0.5% of specimens. Coexistent hiatal hernia, esophageal spasm, achalasia, and esophagogastroduodenal ulceration are common.

tags: dysphagia endoscopy esophagus Zenker diverticulum

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