esophageal diverticula

• pharyngo-esophageal ("Zenker")
  • cricopharyngeal spasm
  • Killian's dehiscence
  • posterior; if lateral, usually on LEFT
  • Rx: diverticulopexy +/- myotomy

• mid-esophageal
  • pulsion, not traction (not associated with TB)
  • dysmotility
  • usually asymptomatic

• distal ("epiphrenic")
  • dyity (incl. DES and achalasia)
  • symptomatic
  • usually on RIGHT
  • Rx: excision + myotomy

• ** all due to PULSION

© 2002, C.E. Kahn, Jr.
2002-04-18