Endoscopic Treatment and Considerations for a Rare of Killian‐Jamieson Diverticulum: A Case Report
ABSTRACT Background Pharyngoesophageal diverticulum, including the most common Zenker's diverticulum, Killian‐Jamieson diverticulum, and the rarer Laimer's diverticulum, require accurate differentiation for proper treatment. This case report explores the endoscopic features and the diagnos...
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| Format: | Article |
| Language: | English |
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Wiley
2025-03-01
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| Series: | JGH Open |
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| Online Access: | https://doi.org/10.1002/jgh3.70127 |
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| author | Guoyao Sun Wen Jia Zhuo Yang Jiao Liu Yong Sun |
| author_facet | Guoyao Sun Wen Jia Zhuo Yang Jiao Liu Yong Sun |
| author_sort | Guoyao Sun |
| collection | DOAJ |
| description | ABSTRACT Background Pharyngoesophageal diverticulum, including the most common Zenker's diverticulum, Killian‐Jamieson diverticulum, and the rarer Laimer's diverticulum, require accurate differentiation for proper treatment. This case report explores the endoscopic features and the diagnostic and therapeutic value of endoscopic ultrasound (EUS) in the management of Killian‐Jamieson diverticulum. Case Presentation A 57‐year‐old woman presented with dysphagia for solids over the past three months. Esophagogastroduodenoscopy (EGD) revealed an esophageal diverticulum located below the upper esophageal sphincter. EUS measured the diverticulum to be 1.0 cm by 1.4 cm and confirmed the absence of muscularis propria, thereby ruling out Laimer's diverticulum. The patient underwent flexible endoscopic septum division (FESD) without any adverse events. A barium esophagram three months post‐surgery indicated a left‐sided Killian‐Jamieson diverticulum. Conclusion This case highlights the importance of combining endoscopic features with barium swallow and EUS for accurate diagnosis of Killian‐Jamieson diverticulum. The results suggest that such an integrated diagnostic approach enhances diagnostic accuracy and guides treatment, offering insights into the management of pharyngoesophageal diverticulum. |
| format | Article |
| id | doaj-art-312db911d9fe4caa9f73c2a3d0109a10 |
| institution | OA Journals |
| issn | 2397-9070 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
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| series | JGH Open |
| spelling | doaj-art-312db911d9fe4caa9f73c2a3d0109a102025-08-20T02:10:34ZengWileyJGH Open2397-90702025-03-0193n/an/a10.1002/jgh3.70127Endoscopic Treatment and Considerations for a Rare of Killian‐Jamieson Diverticulum: A Case ReportGuoyao Sun0Wen Jia1Zhuo Yang2Jiao Liu3Yong Sun4Department of Endoscopy General Hospital of Northern Theater Command Shenyang Liaoning ChinaDepartment of Endoscopy General Hospital of Northern Theater Command Shenyang Liaoning ChinaDepartment of Endoscopy General Hospital of Northern Theater Command Shenyang Liaoning ChinaDepartment of Endoscopy General Hospital of Northern Theater Command Shenyang Liaoning ChinaDepartment of Endoscopy General Hospital of Northern Theater Command Shenyang Liaoning ChinaABSTRACT Background Pharyngoesophageal diverticulum, including the most common Zenker's diverticulum, Killian‐Jamieson diverticulum, and the rarer Laimer's diverticulum, require accurate differentiation for proper treatment. This case report explores the endoscopic features and the diagnostic and therapeutic value of endoscopic ultrasound (EUS) in the management of Killian‐Jamieson diverticulum. Case Presentation A 57‐year‐old woman presented with dysphagia for solids over the past three months. Esophagogastroduodenoscopy (EGD) revealed an esophageal diverticulum located below the upper esophageal sphincter. EUS measured the diverticulum to be 1.0 cm by 1.4 cm and confirmed the absence of muscularis propria, thereby ruling out Laimer's diverticulum. The patient underwent flexible endoscopic septum division (FESD) without any adverse events. A barium esophagram three months post‐surgery indicated a left‐sided Killian‐Jamieson diverticulum. Conclusion This case highlights the importance of combining endoscopic features with barium swallow and EUS for accurate diagnosis of Killian‐Jamieson diverticulum. The results suggest that such an integrated diagnostic approach enhances diagnostic accuracy and guides treatment, offering insights into the management of pharyngoesophageal diverticulum.https://doi.org/10.1002/jgh3.70127endoscopic ultrasoundKillian‐Jamieson diverticulumLaimer's diverticulumpharyngoesophageal diverticulaZenker's diverticulum |
| spellingShingle | Guoyao Sun Wen Jia Zhuo Yang Jiao Liu Yong Sun Endoscopic Treatment and Considerations for a Rare of Killian‐Jamieson Diverticulum: A Case Report JGH Open endoscopic ultrasound Killian‐Jamieson diverticulum Laimer's diverticulum pharyngoesophageal diverticula Zenker's diverticulum |
| title | Endoscopic Treatment and Considerations for a Rare of Killian‐Jamieson Diverticulum: A Case Report |
| title_full | Endoscopic Treatment and Considerations for a Rare of Killian‐Jamieson Diverticulum: A Case Report |
| title_fullStr | Endoscopic Treatment and Considerations for a Rare of Killian‐Jamieson Diverticulum: A Case Report |
| title_full_unstemmed | Endoscopic Treatment and Considerations for a Rare of Killian‐Jamieson Diverticulum: A Case Report |
| title_short | Endoscopic Treatment and Considerations for a Rare of Killian‐Jamieson Diverticulum: A Case Report |
| title_sort | endoscopic treatment and considerations for a rare of killian jamieson diverticulum a case report |
| topic | endoscopic ultrasound Killian‐Jamieson diverticulum Laimer's diverticulum pharyngoesophageal diverticula Zenker's diverticulum |
| url | https://doi.org/10.1002/jgh3.70127 |
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