What is traction diverticulum?
Traction diverticula occur when there is an external force on the esophageal wall that pulls on the esophageal wall creating a diverticulum. These usually occur in the middle esophagus due to mediastinal inflammation adhering to the esophagus and retracting it to form the defect.
Is Zenker’s diverticulum traction?
traction diverticula: occurs secondary to pulling forces on the outer aspect of the esophagus. pulsion diverticula: occurs secondary to increased intraluminal pressure (e.g. Zenker diverticulum)
What is an esophageal pulsion diverticulum?
The pulsion diverticulum is a false diverticulum that does not have a muscle coat. This can be pharyngo-oesophageal/Zenker’s diverticulum (ZD) when located just above the upper oesophageal sphincter (UES) or the epiphrenic (ED), when located above the lower oesophageal sphincter (LES).
What causes Epiphrenic diverticulum?
Increased intraluminal pressure due to the primary esophageal motility disorder is suspected to be the underlying cause for the development of epiphrenic diverticulum, resulting in herniation of the mucosa and submucosa through the muscular layer.
What causes diverticula in the esophagus?
Diverticula can form because of increased pressure inside the esophagus while eating or from increased pressure on the outside when there is inflammation or infection in the chest.
What is the cause of diverticula?
Diverticula usually develop when naturally weak places in your colon give way under pressure. This causes marble-sized pouches to protrude through the colon wall. Diverticulitis occurs when diverticula tear, resulting in inflammation, and in some cases, infection.
How can Zenkers diverticulum be prevented?
Cutting out spicy and acidic foods may also help reduce your symptoms. You should avoid foods with nuts, skins, or seeds since these can get stuck in your throat easily. Stick to soft foods that don’t require much swallowing. Moderate to severe cases.
Does diverticulitis cause chest pain?
Esophageal Diverticulitis: A Rare Cause of Chest Pain and Worsening Dysphagia.
How is esophageal diverticula treated?
How is esophageal diverticulum treated? Cases of esophageal diverticulum that cause minor symptoms can be treated through lifestyle changes, such as eating a bland diet, chewing food thoroughly, and drinking plenty of water after meals.
Can diverticula be cured?
Can diverticulitis be cured? Diverticulitis can be treated and be healed with antibiotics. Surgery may be needed if you develop complications or if other treatment methods fail and your diverticulitis is severe. However, diverticulitis is generally considered to be a lifelong condition.
Can diverticula go away?
Once diverticula form, they do not disappear by themselves. Fortunately, most patients with diverticulosis do not have symptoms, and therefore do not need treatment.
How do you treat Zenkers?
Endoscopic Zenker’s diverticulum surgery is recommended for severe cases. During this procedure, the cricopharyngeal muscle is cut using a laser or stapler. This eliminates the pouch and allows food to pass through when swallowed. Surgery can be performed using either a minimally invasive or open approach.
What causes diverticula in throat?
It is believed that the internal pressure produced by the esophagus to move food into the stomach can herniate the esophageal lining through a weakened wall, creating a pouch or a diverticulum. There is usually distal end obstruction.