Pharyngeal pouch (Zenker's diverticulum, weakening of the esophageal wall)

Description A pouch that develo...

Description

A pouch that develops in the lining of the lower throat. Swallowed food may enter the pouch. As the pouch fills it can press on the esophagus causing symptoms. Food can spill into the airway and cause an aspiration. Patients can spit up undigested food that was eaten many hours before. Pills can also become lodged in the pouch. The disorder is most often found in those over 50.

Symptoms

Spitting up undigested food many hours after eating, difficulty swallowing, weight loss, painful swallowing, cough, multiple bouts of pneumonia.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. The disorder can be diagnosed with an esophagram, EGD (Esophagogastroduodenoscopy), or CT scan.

Tests:
CT Scan

Other Specific Tests: Esophagram, EGD (Esophagogastroduodenoscopy)

Specialists:
Gastroenterology, Cardiothoracic Surgery

Treatment

Therapy depends on the extent of the defect and the health of the patient. Treatment includes repair of the pouch done either through an endoscope or with conventional surgery.