临床胃肠病学和肝病学杂志 开放获取

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Recurrence of the Zenkerâ??s Diverticulum

Mansoor Zafar

A 71 years of age male assessed in the Emergency Department for worsening dysphagia. On further inquiry he gave history of weight loss, regurgitation, halitosis, cough, aspiration pneumonia, and neck pain. He had remote history of Endoscopic stapling eight years ago for Zenker’s diverticulum. He underwent Upper Gastrointestinal Endoscopy, and Magnetic Resonance Imaging of Cervical Spine that suggested upper pouch  and suggestion for Barium swallow for further characterisation. The Barium swallow demonstrated the Zenker’s diverticulum posterior to oesophagus, between C6, C7 cervical spine level. Patient was managed with Total Parenteral Nutrition via Peripherally inserted Central Catheter (PICC) line, with regular refeeding bloods, chest physiotherapy and antibiotics that resulted in weight gain. Patient consented for Endoscopic Stapling with Otorhinolaryngology (ENT) Surgeons, with improvement of his symptoms.