Killian-Jamieson diverticulum is a rare diverticular disease. This disease differs from Zenker's diverticulum in its location and mechanism. Various treatment modality have been attempted, but traditional surgical treatment has been recommended for a symptomatic Killian-Jamieson diverticulum due to the concern of possible nerve injury. We performed surgical treatment by cervical incision. We report here on a case of Killian-Jamieson diverticulum and we briefly review the relevant literature.
Diverticulum ; Esophageal Diseases ; Zenker Diverticulum

Zenker diverticulum is rare and symptoms of diverticulum are atypical. This is most commonly seen at the Killian's triangle. This is caused by altered motility, which results in abnormal intraluminal pressure and the pushing of the mucosa through weakness of the wall. Treatment is surgical via an endoscopic or external approach. Previous external approaches are associated with high com-plication rates and morbidity. We report a new external surgical approach using the gastrointestinal autostapler (GIA) instrument.
Diverticulum ; Mucous Membrane ; Zenker Diverticulum

Killian-Jamieson diverticulum is a rare disease that is seen at the cervical esophagus. It has quite a different pathogenesis and anatomical location compared with that of Zenker's diverticulum. The pathophysiology and strategy for treating Killian-Jamieson diverticulum are not fully understood. We performed surgery using one incision for treating a case of Killian-Jamieson diverticulum and we review the medical literature that's related to this unusual diverticulum.
Diverticulum ; Diverticulum, Esophageal ; Esophageal Diseases ; Esophagus ; Rare Diseases ; Zenker Diverticulum

Zenker diverticulum is a rare condition with a reported prevalence of 0.01% to 0.11% in the general population. Challenges that can arise when treating a Zenker diverticulum through flexible endoscopy include maintaining a stable position and avoiding hemorrhage or perforation. Nevertheless, this approach is associated with less morbidity and a shorter hospital stay than conventional treatment consisting of open surgery or rigid endoscopic treatment with diverticuloscopy. We report a case of transparent cap-assisted flexible endoscopic septoplasty using a needle knife.
Endoscopy ; Hemorrhage ; Length of Stay ; Needles ; Prevalence ; Zenker Diverticulum

Aged ; Deglutition Disorders ; etiology ; Humans ; Male ; Zenker Diverticulum ; complications ; pathology

Most patients with esophageal diverticula are asymptomatic and treatment should be reserved only for the symptomatic patients. The mainstay of treatment is surgery. Recently, in cases of Zenker's diverticula, endoscopic diverticulotomy has become increasingly popular. In lower esophageal diverticula, minimally invasive surgery (i.e. laparoscopic approach) has been successful. However, treatment with flexible endoscope has not been reported yet in mid- esophageal diverticulum. We present a case with a giant symptomatic mid-esophageal diverticulum, which was successfully treated by clip and cut technique through a flexible endoscope without general anesthesia.
Anesthesia, General ; Diverticulum* ; Diverticulum, Esophageal ; Endoscopes ; Humans ; Surgical Procedures, Minimally Invasive ; Zenker Diverticulum

Zenker's diverticulum, a pulsion diverticulum of the hypopharynx, is a rare lesion that commonly occurs in left side of hypopharynx. The incidence of esophageal diverticula is much lower than that of focal lesions or nodules of thyroid. In an ultrasonography, the outpouching just like a focal thyroid lesion, may present as an oval or circular structure. The food remnants or gas bubbles present in the diverticulum may mimic microcalcifications presented in papillary thyroid carcinoma. We reported a case of right side Zenker's diverticulum mimicking a thyroid cancer in thyroid ultrasonography.
Diverticulum ; Diverticulum, Esophageal ; Hypopharynx ; Incidence ; Thyroid Gland ; Thyroid Neoplasms ; Thyroid Nodule ; Ultrasonography ; Zenker Diverticulum

A pharyngeal diverticulum is a rare complication of an anterior cervical discectomy and fusion (ACDF). We present a case of a pharyngeal diverticulum after an ACDF, which was misdiagnosed as a typical Zenker diverticulum. A 54-year-old woman presented with dysphagia and a sense of irritation in the neck following C5 through C7 cervical fusion 3 years prior. The patient underwent open surgery to resect the diverticulum with concurrent cricopharyngeal myotomy. An ACDF-related diverticulum is difficult to distinguish from a typical Zenker diverticulum.
Deglutition Disorders ; Diskectomy ; Diverticulum ; Female ; Humans ; Middle Aged ; Neck ; Pharynx ; Zenker Diverticulum*

There have been few reports on a pharyngoesophageal diverticulum in dermatomyositis patients. This report concerns a young woman suffered from dermatomyositis, and resulting in dysphagia. Although dysphagia is a common manifestation of inflammatory myopathy, it was associated with a pharyngoesophageal (Zenker's) diverticulum in this case. The videoflouroscopic study showed a diverticulum of the pharyngoesophageal junction. Esophagography confirmed a complicated Zenker's diverticulum that was a tubular mucosal pouch with poor distensibility and mucosal irregularity on left posterolateral aspect of the pharyngoesophageal junction. After 4 months, dysphagia improved and pharyngoesophageal diverticulum disappeared on esophagography and neck computed tomography. To our knowledge, there has been no report of a pharyngoesophageal diverticulum in a dermatomyositis patient with dysphagia in Korea. We report clinical and laboratory findings of our case and review association with a pharyngoesophageal diverticulum and dermatomyositis.
Deglutition Disorders ; Dermatomyositis ; Diverticulum ; Female ; Humans ; Korea ; Myositis ; Neck ; Zenker Diverticulum

Anterior cervical discectomy and fusion (ACDF) has been performed for degenerative and traumatic cervical diseases to improve pain and neurologic symptoms including sensory change and motor weakness. Infection, however, is a rare complication of ACDF, and late infection is even much rarer. We present a case of late Infection from ACDF C4-5 using Biocompatible Osteoconductive Polymer (BOP) after twenty years in the absence of an esophageal perforation, Zenker's diverticulum, or recent surgery or bacteremia. Late infection from ACDF after 20 years is extremely rare in the literature. However, possibility of such a late complication should be appreciated during the follow-up period and surgical resection will be required for proper treatment.
Bacteremia ; Diskectomy* ; Esophageal Perforation ; Follow-Up Studies ; Neurologic Manifestations ; Polymers ; Zenker Diverticulum