Endoscopic management of Killian-Jamieson diverticulum

Sanders, David; Murray, T. D.; Donnellan, Fergal

doi:10.1016/j.vgie.2019.04.008

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Open transcervical excision rather than endoscopic resection thus appears to offer safer management. Some authors have concluded that endoscopic stapling can provide a safe and effective choice of treatment for Killian-Jamieson diverticulum [7,8], but the technique should be performed only in experienced centers or in selected cases in which general anesthesia cannot be tolerated.…”

Section: Discussionmentioning

confidence: 99%

Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report

Ataka¹,

Tsunoda

Goto

et al. 2020

surg case rep

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Background: Killian-Jamieson diverticulum is a rare pharyngoesophageal diverticulum. The risk of intraoperative injury of the recurrent laryngeal nerve (RLN) is high during surgical resection of Killian-Jamieson diverticulum because the RLN usually runs next to the base of the diverticulum. We present a case of Killian-Jamieson diverticulum that was safely resected with effective use of an intraoperative nerve monitoring (IONM) system with a handheld stimulating probe to prevent RLN injury. Case presentation: A 69-year-old man complaining of dysphagia was diagnosed with Killian-Jamieson diverticulum and underwent open transcervical diverticulectomy. Because the anterior aspect of the diverticulum was expected to be close to the RLN, the accurate location of the RLN was checked during dissection by intermittent stimulation using a handheld probe of the IONM system to avoid mechanical and thermal injury. The diverticulum was transected longitudinally using a linear stapler, and the staple line was buried using absorbable sutures from the distal end. During its closure, RLN was identified very close to the diverticulum stump by IONM, and the upper side of the stump was left unburied to avoid RLN injury. The postoperative course was uneventful and the patient was discharged on postoperative day 7. Postoperative evaluation showed no vocal cord paralysis. Conclusion: IONM may be beneficial during open surgery for Killian-Jamieson diverticulum, which usually protrudes just lateral to the RLN.

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Section: Discussionmentioning

confidence: 99%

Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report

Ataka¹,

Tsunoda

Goto

et al. 2020

surg case rep

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“…Zenker diverticulum (ZD) Two types of endoscopic diverticulotomy have been used to treat KJD in our center: direct diverticulotomy and tunneling diverticulotomy. Direct diverticulotomy is an established method to treat ZD [10][11][12][13][14] and has been reported in KJD patients in single case reports [15][16][17][18]. It was used in the beginning of our study period.…”

Section: Killian Jamieson (Kj) Diverticulummentioning

confidence: 99%

Endoscopic diverticulotomy for Killian-Jamieson diverticulum: mid-term outcome and description of an ultra-short tunnel technique

Modayil

Zhang²,

Ali

et al. 2022

Endosc Int Open

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Background and study aims Killian-Jamieson Diverticulum (KJD) is a rarer and more recently described upper pharyngeal diverticulum than Zenker’s diverticulum (ZD). KJD is more difficult to manage than ZD because it tends to extend lower into the upper mediastinum and the diverticulum neck is in close proximity to the recurrent laryngeal nerve. There is limited literature on KJD management and transcervical surgical diverticulectomy is the mainstay of therapy. Patients and methods Here we describe two methods of endoscopic diverticulotomy to treat KJD – direct and tunneling diverticulotomy (with hypopharyngeal tunnel or ultra-short tunnel – the latter being our preferred technique). Results This was a retrospective study including 13 consecutive patients between March 2015 and April 2018. Three patients received direct and 10 received tunneling diverticulotomy (7 with the hypopharyngeal tunnel and 3 with the ultra-short tunnel). All procedures were completed in 16 to 52 minutes. There was no incidence of bleeding, mediastinitis, or sign of recurrent laryngeal nerve injury. At follow up of 9 to 79 months (median 33), the clinical success rate was 92 % (12/13); 11 patients had complete symptom resolution (post-operative symptom score = 0) and one patient had near-complete symptom resolution (occasional residual dysphagia). One patient receiving direct myotomy had limited symptom relief (frequent residual dysphagia and occasional residual regurgitation), possibly related to incomplete myotomy. Conclusions Endoscopic tunneling diverticulotomy is a feasible, safe, and effective method to treat KJD.

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The experience of endoscopic treatment of a patient with Killian-Jamieson diverticulum

Drobyazgin¹,

Chikinev²,

Arkhipov³

2022

Endosk. khir.

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Endoscopic management of Killian-Jamieson diverticulum

Cited by 3 publications

References 4 publications

Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report

Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report

Endoscopic diverticulotomy for Killian-Jamieson diverticulum: mid-term outcome and description of an ultra-short tunnel technique

The experience of endoscopic treatment of a patient with Killian-Jamieson diverticulum

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