Clinical Conundrum: Killian-Jamieson Diverticulum with Paraesophageal Hernia. Dysphagia 2016 Aug;31(4):587-91
Date
01/13/2016Pubmed ID
26753928DOI
10.1007/s00455-015-9683-5Scopus ID
2-s2.0-84954176480 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
Killian-Jamieson diverticulum is a outpouching of the lateral cervical esophageal wall adjacent to the insertion of the recurrent laryngeal to the larynx and is much less common in clinical practice than Zenkers Diverticulum. Surgical management of Killian-Jamieson diverticulum requires open transcervical diverticulectomy due to the proximity of the recurrent laryngeal nerve to the base of the pouch. We present a case of a Killian-Jamieson diverticulum associated with a concurrent large type III paraesophageal hernia causing significant solid-food dysphagia, post-prandial regurgitation of solid foods, and chronic cough managed with open transcervical diverticulectomy and laparoscopic paraesophageal hernia repair with Nissen fundoplication.
Author List
Bock JM, Knabel MJ, Lew DA, Knechtges PM, Gould JC, Massey BTAuthors
Jonathan Bock MD Professor in the Otolaryngology department at Medical College of WisconsinJon Gould MD Chief, Professor in the Surgery department at Medical College of Wisconsin
Benson T. Massey MD Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
CoughDeglutition Disorders
Diverticulum, Esophageal
Esophagus
Hernia, Hiatal
Humans
Laryngopharyngeal Reflux
Male
Middle Aged
Recurrent Laryngeal Nerve
