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 more
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
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 more
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 more
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
Not very common.: Urachal cysts are quite rare; meckel's diverticulum occurs in 0.2-4% (but only 5% of people with it have problems from it). So to have both is uncommon! ...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
I'm having a urethral diverticulum surgery and getting a hole in my urethra fix how long is the recovery time? And how long do I wear the catheter?
Dr's job 2 tell U: Surgeon's responsibility to explain everything about indications for surgery, alternative operations, post-operative care, complication risk ; likelihood of success. There is simple cut-back procedure for a small distal diverticulum (spence-duckett) ; no catheter. Transvaginal approach with excision of 'tic, urethral ; vaginal closure + interposition of pedicle flap needs catheter about 10 days. ...Read more
Does a stone located in the calyceal diverticulum require intervention or can it be watched? Does it depend if it is symptomatic and is this common?
Can be watched: A stone in a calyceal doverticulum usually will remain there and not drop down the ureter (that is when pain occurs). A plain xray of the abdomen in 6 months then in 1year is reasonanle. I am assuming it was discovered incidentally. Be sure a urologist is following you in consultation with your primary doctor. It is nor very common but not rare. ...Read more
Meckel's diverticuli: Meckel's diverticulum = a pouch off the ileum. ...Read more
Meckel's: A Meckel's diverticulum is a full thickness outpouching of the small intestine, usually located on the antimesenteric border of the intestine (the side opposite to the attachment of the mesentery). They are usually asymptomatic, but can occasionally cause bleeding or other complications. ...Read more
Depends: A meckels occurs in only two percent of the population. If it becomes symptomatic and is ignored then one can be faced with several issues, bleeding, perforation, peritonitis and possibly death. Most people do not ignore these symptoms. ...Read more
Two main types: There are two main types of surgery for zenker's diverticulum. 1. Is transoral endoscopic stapling. This is often first line therapy, and is especially usefull in small diverticulum. 2. For large diverticulum or failed endoscopic stapling, then a myotomy and diverticulectomy performed through the left neck is effective and well tolerated. ...Read more
Surgery can be done by open repair or through an endoscope and includes stapling or hand sewing closed the diverticulum and the overlying muscle. Full details are at: pharyngoesophageal diverticulum: technique of repair.
Chest surg clin n am. 1995; 5 (3):449-58 (issn: 1052-3359)
section of general thoracic surgery, mayo clinic, rochester, minnesota, usa
-obtainable per medical library. ...Read more
Possibly: Nothing in life or medicine is 100%. Even the simplest procedures have risks. Risks of surgery include bleeding, infection, injury to surrounding tissues, organs, nerves, incontinence, urinary retention, fistula formation, anesthesia reacitions, allergic reactions, urinary urgency, frequency, temporary or pernament pain, disability and death. Balance out the risks and benefits of surgery. ...Read more
Not often: In anatomy, zenker's diverticulum, also pharyngoesophageal diverticulum, also pharyngeal pouch, is a diverticulum of the mucosa of the pharynx, just above the cricopharyngeal muscle (i.e. Above the upper sphincter of the esophagus). It is a false diverticulum (not involving all layers of the esophageal wall). ...Read more
Depends upon surgery: Distal urethral diverticulum can be surgically corrected by a simple cut-back or marsulialization. Diverticulum higher up usually corrected by transvaginal surgery. Best to ask urologist or uro-gynecologist performing the surgery, but either way recovery should be about 2 - 3 days. Good luck. ...Read more