What are the signs and symptoms of Zenker diverticulum?

Updated: Jan 23, 2018
  • Author: Joel A Ernster, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

The history strongly suggests the diagnosis of Zenker diverticulum. The combination of the following symptoms is nearly pathognomonic for the condition:

  • Dysphagia - Most patients (98%) present with some degree of dysphagia

  • Regurgitation of undigested food hours after eating

  • Sensation of food sticking in the throat

  • Special maneuvers to dislodge food

  • Coughing after eating

  • Aspiration of organic material

  • Unexplained weight loss

  • Fetor ex ore (halitosis)

  • Borborygmi in the neck


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