Advertisement

Dysphagia

, Volume 3, Issue 2, pp 90–92 | Cite as

Upper esophageal sphincter function in patients with Zenker's diverticulum

  • T. Frieling
  • W. Berges
  • H. J. Lübke
  • P. Enck
  • M. Wienbeck
Original Articles

Abstract

Upper esophageal sphincter function (UES) was studied in 8 patients with Zenker's diverticulum. Radiologic and endoscopic studies revealed pharyngoesophageal diverticula of varying size. No tumor or stenosis was found. Esophageal manometry showed no significant difference between patients and 8 matched controls with respect to UES resting pressure, delay of maximal UES relaxation, and maximal pharyngeal contraction. All patients exhibited a drop of the UES pressure to esophageal resting pressure during swallowing. These results indicate that disturbances of UES function in established Zenker's diverticulum are a myth.

Key words

Zenker's diverticulum Esophageal motility 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Ardran GM, Kemp FH, Lund WS: The etiology of the posterior pharyngeal diverticulum: a cineradiographic study.J Laryngol Otol 78:333, 1964PubMedGoogle Scholar
  2. 2.
    Ellis FH Jr, Schlegel JF Lynch VP, Payne WS: Cricopharyngeal myotomy for pharyngo-esophageal diverticulum.Ann Surg 170:340–349, 1969PubMedGoogle Scholar
  3. 3.
    Hunt PS, Connell AM, Smiley TB: The cricopharyngeal sphincter in gastric reflux.Gut 11:303–306, 1970PubMedGoogle Scholar
  4. 4.
    Hurwitz AL, Nelson JA, Haddad JK: Oropharyngeal dysphagia.Am J Dig Dis 20:313–323, 1975CrossRefPubMedGoogle Scholar
  5. 5.
    Lichter I: Motor disorder in pharyngoesophageal pouch.J Thorac Cardiovasc Surg 76:272–275, 1978PubMedGoogle Scholar
  6. 6.
    Seaman WB: Roentgenology of pharyngeal disorders in the alimentary tract. In:Roentgenology. St. Louis: CV Mosby, 1973, pp 305–336Google Scholar
  7. 7.
    Knuff TE, Benjamin SB, Castell DO: Pharyngoesophageal (Zenker's) diverticulum: a reappraisal.Gastroenterology 82:734–736, 1982PubMedGoogle Scholar
  8. 8.
    Ardran GM, Kemp FH: The radiography of the lower lateral food channels.J Laryngol Otol 75:358–370, 1961PubMedGoogle Scholar
  9. 9.
    Belsey R: Functional disease of the esophagus.J Thorac Cardiovasc Surg 52: 164–188, 1966PubMedGoogle Scholar
  10. 10.
    Cross FS: Esophageal divericula: Related neuromuscular problems.Ann Otol Rhinol Laryngol 77:914–926, 1968PubMedGoogle Scholar
  11. 11.
    Dohlman G, Mattson O: The role of the cricopharyng muscle in cases of hypopharyngeal diverticula: a cineroer genographic study.Am J Reontgenol 81:561–569, 1959Google Scholar
  12. 12.
    Lund WS: The cricopharyngeal sphincter. Its relationsh to the relief of pharyngeal paralysis and the surgical tresment ot the early pharnygeal pouch.J Laryngol 82:353–367, 1968Google Scholar
  13. 13.
    Negus VE: The etiology of pharyngeal divericula.Bull John Hopkins Hosp 101:209–223, 1957Google Scholar
  14. 14.
    Sutherland HD: Cricopharyngeal achalasia.J Thorac diovasc Surg 43:114–126, 1962Google Scholar
  15. 15.
    Alstrup P, Pedersen SA, Hansen JB: Pharyngoesophag diverticula. In:The Function of the Esophagus. Sorens HR, Jepsen O, Pedersen SA (eds): Odense, Denmar Odense University Press, 1973, pp 60–63Google Scholar
  16. 16.
    Blakely WR, Garety EJ, Smith DE: Section of the pharyngeus muscle for dysphagia.Arch Surg 96:745 1986Google Scholar
  17. 17.
    Brindley GV: Neuromuscular disorders of the esophageal.Surg Clin North Am 52:319–331, 1972PubMedGoogle Scholar
  18. 18.
    Hurwitz AL, Dranceau A: Upper-esophageal sphincter dysfunction.Dig Dis 23:275–281, 1978CrossRefGoogle Scholar
  19. 19.
    Kilman WJ, Goyal RK: Disorders of pharyngeal and up esophageal sphincter motor function.Arch Intern 136:592–601, 1976CrossRefGoogle Scholar
  20. 20.
    Kodicek J, Creamer B: A study of pharyngealJ Laryngol Otol 75:406–414, 1961PubMedGoogle Scholar
  21. 21.
    Felix V, Cecconello I, Pollara W, Zilberstein B Pinotti The role of the upper esophageal sphincter in Zenker ticulum.Dig Dis Sci 31:457S, 1986Google Scholar
  22. 22.
    Goyal RK, Sargree MH, Hersh T, et al.: Pressure point at the upper high pressure zone and its genesis.G troenterology 59:754–759, 1970Google Scholar
  23. 23.
    Watson WC, Sullivan SN: Hypertonicity of cricophary geal sphincter: cause of globus sensation.Lath 2:1417–1418, 1974Google Scholar
  24. 24.
    Winans CS: The pharyngoesophageal closure mechanism a manometric study.Gastroenterology 63:768–777, 1972PubMedGoogle Scholar
  25. 25.
    Redmond P, Berliner L, Ambos M, Horowitz L: Radiology assessment of pharyngoesophageal dysfunction with emphasis on cricopharyngeal myotomy.Gastroenterology 77:85–92, 1982Google Scholar
  26. 26.
    Stancher J, Hamilton J, Robbins J: Comparison of a fused side-hole motility catheter and microstrain catheter for timing of events in the pharyngoesophageal segment.Dig Dis Sci 32:929, 1987Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1988

Authors and Affiliations

  • T. Frieling
    • 1
  • W. Berges
    • 1
  • H. J. Lübke
    • 1
  • P. Enck
    • 1
  • M. Wienbeck
    • 1
  1. 1.Department of Internal Medicine, Division of GastroenterologyUniversity HospitalsDüsseldorfFederal Republic of Germany

Personalised recommendations