Doctor insights on:
Diverticulum Pharyngeal Pouch
Surgery: Pharyngeal pouch is assumed to mean a pharyngeal diverticulum, also known as a zenker's diverticulum. They are often associated with swallowing difficulties such as delayed regurgitation of undigested food particles. When medically appropriate, they are treated endoscopically by a procedure known as a diverticulotomy. Occasionally, very large symptomatic diverticuli require an open surgery. ...Read more
Something is stick: Often patients with a pharyngeal pouch feel that something is not right. Most commonly, they feel that food stick easily and they sometimes choke on their food. As the pouch gets bigger, it can collect food and then the food can periodically come back up into the mouth, long after eating. It can be a real problem at this stage and will usually require a surgical approach to remove. ...Read more
Pharyngeal pouch: A pharyngeal pouch is usually due to an error in intrauterine embryonal development. Certain cells do not go to the right place or fuse into a solid organ as they are supposed to. ...Read more
Trouble swallowing: Pharyngeal pouches occur most commonly in elderly patients (over 70 years) and typical symptoms include difficulty swallowing or painful swallowing, regurgitation, chronic cough, aspiration, and weight loss. It is also known as a zenker's diverticulum. The treatment is surgery. ...Read moreSee 1 more doctor answer
Pharyngeal pouch: Treatment is surgical and is now usually done endoscopically (alternative is an external cervical approach) and should include a cricopharyngeal myotomy. The pouch is excised. ...Read more
PP gives swallowing: problems, or dysphagia. It occurs in the neck region and may be related to abnormal pressure in the upper ES which usually relaxes with swallowing. Food can then be trapped in this pouch, and cause regurgitation of food, choking, chronic cough and hoarseness. GERD is caused by hiatal hernia or abnormal LES. See https://pmj.bmj.com/content/77/910/506 ...Read more
Question to ENT Doctor can pharyngeal pouch be found on both Nasal Endoscopy and Barium Meal test?As i was sent for Barium Meal but instead was given Nasal Endoscopy when swallowing water and pressing on my neck can hear gurgling left side only.
ENT said Nasal Endoscopy normal
but have LPR Gaviscon Advance PPI don't work.Reflux after sipping water.Stomach bloated can
Pharyngeal Pouch cause it?
Probably not: Treatment for LPR is tricky even with twice daily PPI (taken 30-60 mins before breakfast and dinner) and dietary restriction. One needs to consider bile reflux when symptoms are not controlled by Gaviscon and PPI. In severe cases, surgery may be needed to control the reflux. Consult a gastroenterologist. ...Read more
GP referral to ENT Doctor for excess Burping for a Barium Meal suspected Pharyngeal Pouch .Only Nasal Endoscopy procedure was done.Told i have LPR or GERD which i already know.Would Nasal Endoscopy find Pharyndeal Pouch or only found with Barium meal?
GP referred me for eccess burping to ENT Doctor for Barium meal test for suspected Pharyngeal pouch as heard noise left side drinking water.ENT did Nasal Endoscopy and i said i have LPR Reflux.But would this procedure find
Pharyngeal pouch alone?
Meckel scan/surgery: Meckel's diverticulum, a common GI tract congenital anomaly, is difficult to diagnose. Many remain asymptomatic, some mimic disorders like appendicitis, ulcer disease and crohns. Ectopic gastric and/or pancreatic tissue, is found in about half the cases. Meckel's are found incidentally at surgery. A technitium scan, or meckel's scan, can pick up the ectopic tissue, with surgery recommended. ...Read moreSee 1 more doctor answer
See Answer: Calyceal diverticula are relatively uncommon tiny cyst-like outpouchings communicating with the kidney collecting system and containing urine, often discovered incidentally during imaging examinations. Although most are asymptomatic, occasionally there are complications of recurrent infection, hematuria, and symptomatic calculi . Discuss with your clinical dr. / urologist. ...Read moreSee 1 more doctor answer
Abnormal: Depending on specific location can be minimal issue. May involve pancreatic or biliary duct area and be more of an issue. ...Read more
BLADDER DIVERTICULUM: Hutch diverticulae are a certain types seen at the junction of the ureter and bladder and, by themselves are harmless if there is no reflux. They are often associated with refluxing ureters. There are many who have them found by accident that have no symptoms. Other bladder diverticulae can be signs of high voiding pressures as well as a hutch enlarging from same. A bladder diary and urodynamics. ...Read more
Here are some...: Urethral diverticulum is a herniating pouch formed at weak point of urethral wall possibly related with infection of urethral gland. It becomes evident ballooning at higher pressure of urine flow. At completing urination, it collapses but still retains some urine as an intractable dead space for bacteria to grow. For more understanding of such urodynamic effect, ask your urlogists timely. ...Read more
Why does my medical report say possible of calyceal diverticulum? What does that mean? Doc doesn't seem to be overly concerned about it.
Usually asymptomatic: Calyceal diverticulum is a relatively uncommon cyst-like lesion , often discovered incidentally during ultrasound examination of the kidneys. Calyceal diverticulum communicates with the collecting system through a narrow channel. Sometimes can be symptomatic owing to recurrent urinary tract infection (UTI) or stone formation within the diverticulum, both of which related to stasis. ...Read more
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