Zenker's Diverticulum (Esophogeal Diverticulum)
Esophageal Center at RWJ University Hospital New Brunswick
An esophageal diverticulum is pouch that develops in the muscular layer of the esophagus. The condition goes by several names, depending on where the pouch is located, and worsens over time. Zenker’s Diverticulum is the most common and found at the top of the esophagus, usually at the back of the throat. Esophageal diverticulum occurs most often in adults over the age of 60.
While some cases of diverticulum can be asymptomatic, most patients experience symptoms similar to those affiliated with other esophageal disorders and conditions. These include:
- difficulty swallowing (dysphagia)
- coughing or choking
- vomiting
- bad breath (halitosis)
- recurrent pneumonia
- neck pain
- unintended weight loss
Treatments
Zenker’s diverticulum generally does not go away or heal without endoscopic or surgical intervention. When left untreated, the pouch can increase in size which increases the risk of choking, vomiting and developing pneumonia.
Some patients may find that dietary modifications help alleviate minor symptoms. For example, consuming a bland diet, taking small bites, chewing food entirely, and drinking liquids before and after meals may relieve mild symptoms.
Most diverticulum can be treated endoscopically using a septotomy technique or a tunneling technique (Z-POEM). Treatment is aimed at relieving pressure in the esophagus and improving swallowing.
Find out more about esophageal diverticulum care at the RWJUH Esophageal Center by calling 732-235-8970.
