Q. The usual incision given for surgery of Zenker’s diverticulum of esophagus is
1. a
Zenker’s diverticulum is a pulsion (false) diverticulum between the cricopharyngeal muscle and inferior constrictor muscle in an area Killian’s dehiscence.
There may be other areas of weakness as well such as Killian Jamieson area between the oblique and transverse fibers of cricopharyngeal muscle and Laimer’s triangle formed between the cricopharyngeal muscle and most superior esophageal wall circular muscles.
(Zenker’s diverticulum) is the most common esophageal diverticulum.
It Occurs due to
1. Increased upper esophageal sphincter (UES) pressure
2. Failure of UES to relax
3.Incordination between hypophraynx and sphincter to relax
Treatment can be done endoscopically or surgically.
Surgery Esophagomyotomy and resection of the diverticulum- through an oblique left cervical incision
Complications of Surgery for Zenker’s divertculum
1. Salivary fistula 4-24%
2. Recurrence of Zenker’s diverticulum 2.5-20%
