Diseases in three words

Zenker’s diverticulum, in three words:
Cricopharyngeal muscle. The hernia folds backwards behind this muscle creating a nice little pouch.
Dysmotility. That means that there is incoordination between the contractions of the upper esophagus sphincter and contraction in the pharynx. The tubing would love to see the contractions (after swallowing) move ahead towards the stomach, but they don’t-rolling continuously behind the cricopharyngeal muscle (right behind Adam’s apple).
No endoscopy. There’s always the temptation to do endoscopy to patients with difficulty swallowing. First: barium swallow (seen in the image here, from Wikimedia), which will show the little pouch staying filled with fluid.

Zenker’s diverticulum, in three words:

  1. Cricopharyngeal muscle. The hernia folds backwards behind this muscle creating a nice little pouch.
  2. Dysmotility. That means that there is incoordination between the contractions of the upper esophagus sphincter and contraction in the pharynx. The tubing would love to see the contractions (after swallowing) move ahead towards the stomach, but they don’t-rolling continuously behind the cricopharyngeal muscle (right behind Adam’s apple).
  3. No endoscopy. There’s always the temptation to do endoscopy to patients with difficulty swallowing. First: barium swallow (seen in the image here, from Wikimedia), which will show the little pouch staying filled with fluid.

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