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Surgery

  • Ahmad Wagih Abdel-Halim
Chapter

Gastrointestinal System

Pharyngeal (Zenker) Diverticulum

  • Mechanism: Spasm of cricopharyngeus muscle leads to herniation of pharyngeal mucosa through Killian’s Dehiscence; a triangle in the posterior pharyngeal wall bound by oblique fibers of inferior pharyngeal constrictor muscles and transverse fibers of cricopharyngeus muscle.

  • Clinical picture:
    1. 1.

      Dysphagia.

       
    2. 2.

      Regurgitation of non-digested food; especially on lying down.

       
    3. 3.

      Neck swelling: Soft, compressible and gets bigger after meals.

       
  • Complications: Perforation and malignancy.

  • Diagnosis: Barium swallow is the test of choice (Esophagogastroduodenoscopy “EDG” might cause perforation).

  • Treatment:
    1. 1.

      Small diverticulum: Repeated dilatation.

       
    2. 2.

      Large diverticulum: Diverticulopexy or diverti- culectomy.

       

Congenital Esophageal Atresia

  • Introduction: Usually associated with tracheo-esophageal fistula.

  • Types: Multiple; the most common is an esophagus with a blind upper pouch, and a lower pouch connected to the trachea.

  • Clinical...

Keywords

Clinical Picture Hiatus Hernia Deep Venous Thrombosis Anal Canal Choledochal Cyst 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.McLaren Regional Medical CenterFlintUSA

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