[Dysphagia] Gurgling sounds

[eripley at yahoo.com (Irene Campbell-Taylor)]

Pharyngoesophageal (Zenker's) diverticulum: case report. East Afr Med J. 2002 Jan;79(1):54-5.
Jani PG.
Pharyngoesophageal pulsion diverticulum is the most common of all oesophageal diverticuli and is characterised by dysphagia, regurgitation, gurgling sounds in the neck and aspiration. This is a report of an 80-year old female who presented with progressive dysphagia, weight loss and recurrent bouts of pneumonitis. A barium swallow showed a pharyngoesophageal diverticulum and an upper endoscopy confirmed a wide ostium and no other pathology. She underwent surgical pharyngoesophageal diverticulectomy and cricopharyngeal myotomy under general anaesthesia and made complete recovery with total relief of dysphagia.
   
  
[Zenker's diverticulum--surgical management in a series of six cases]
Rev Med Chir Soc Med Nat Iasi. 2004 Apr-Jun;108(2):397-402.
Lupa?cu C, T?rcoveanu E, Chifan M, Moldovanu R, Ple?a C, Crumpei F, Nicolescu S, Lupa?cu C.
Zenker's diverticulum is a protrusion of the posterior mucosal wall of the hypopharynx through the weakened muscular layer, between the oblique fibers of the inferior constrictor of the pharynx and the transverse fibers of the cricopharyngeal muscle (Killian's dehiscence). Pharyngoesophageal pulsion diverticulum is the most common of all the oesophageal diverticuli and is characterised by dysphagia, regurgitation, gurling sounds in the neck and aspiration. The current principles of surgical management includes a pharyngoesophageal myotomy accompanied by a diverticulectomy or a diverticulopexy. The same principles apply in both open approach and the endoscopic methods.
   
Esophageal diverticula also tend to make similar sounds.

Dr I Campbell-Taylor
Clinical Neuroscientist
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