Simultaneously occurring Zenker's diverticulum and Killian–Jamieson diverticulum: case report and literature review

Stewart, Kirsten; Smith, Dwayne; Woolley, Sarah

doi:10.1017/s0022215117001268

Cited by 19 publications

(22 citation statements)

References 31 publications

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“…Pharyngoesophageal diverticuli are relatively rare diseases [123]: the Zenker's diverticulum is an outpouching from the muscular gap in the posterior portion above the cricopharyngeus muscle with an estimated incidence of less than 0.5% and the Killian-Jamieson diverticulum is an outpouching from a muscular gap in the anterolateral wall of the proximal cervical esophagus just below the cricopharyngeus muscle and superolateral to the longitudinal muscle of the esophagus with an incidence ratio of 1:4 as compared to Zenker's. Although simultaneously occurring Zenker's and Killian-Jamieson diverticula in one patient was reported [4], we showed a direct evidence of Killian-Jamieson diverticulum lined with two different epithelial cells in a Korean male cadaver.…”

Section: Introductionmentioning

confidence: 48%

“…Taken together, awareness of the fact that Killian-Jamieson diverticula can be misdiagnosed as thyroid nodules [5] is important to avoid unnecessary interventions. The differentiation between Zenker's and Killian-Jamieson diverticula is also important, as surgical management differs [4]. In addition, physicians should aware the possibility of carcinogenesis in the Killian-Jamieson diverticulum, although no epithelial dysplasia or malignant transformation was identified in this direct evidence.…”

Section: Discussionmentioning

confidence: 99%

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Killian-Jamieson diverticulum lined with two epithelia in a Korean cadaver

et al. 2018

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Killian-Jamieson diverticulum is a permanent protrusion of anterolateral proximal esophagus through anatomically weak muscular gap, known as Killian-Jamieson area, into adjacent area. During a routine educational dissection, we found a well-defined lateral diverticulum just inferior to the transverse fibers of the cricopharyngeus muscle in a Korean male cadaver. It had a dimension of 1.8×1.4×1.0 cm with two types of epithelial cells, stratified squamous and simple cuboidal to low-columnar epithelium, and attenuated and haphazardly arranged muscle fibers. No epithelial dysplasia or malignant transformation was identified except ulcerative changes. Although Killian-Jamieson diverticulum is a very rare disease, clinicopathological aspects should be considered.

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Section: Introductionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Killian-Jamieson diverticulum lined with two epithelia in a Korean cadaver

et al. 2018

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“…There were two reports of persistent symptoms following endoscopic stapler-assisted diverticulotomy requiring revision surgery, one repeat endoscopic and one transcervical excision. 11,12 No complications were described after transcervical excision.…”

Section: Resultsmentioning

confidence: 99%

Presentation and Management of Killian Jamieson Diverticulum: A Comprehensive Literature Review

Haddad

Agarwal

Levi

et al. 2019

Ann Otol Rhinol Laryngol

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Objective: To examine the clinical presentation, diagnostic evaluation, and management of Killian–Jamieson diverticula (KJD) through literature review. Methods: A comprehensive literature review was conducted through December 2018 using keywords Killian–Jamieson diverticula/diverticulum. Data extracted included clinical presentation, imaging characteristics, surgical management, and postoperative care. Sources: PubMed and Google Scholar. Results: Sixty-eight cases of KJD in 59 reports (29M:39F; median 58 years old) were identified for review. The most common presentation was dysphagia (n = 39), suspected thyroid nodule (n = 24) and globus (n = 14). The majority of KJD (n = 51) occur on the left, with rare reports of right side (n = 11) and bilateral (n = 5) presentation. Thirty-two cases describe surgical management: 22 utilizing a transcervical approach, with (n = 13) or without (n = 9) cricopharyngeal myotomy; and 10 reported endoscopic surgery. Diverticula managed transcervically averaged 3.8 cm in size in comparison to average 2.8 cm in the endoscopic group. Time to diet initiation after transcervical surgery averaged 4 days versus 2 days after endoscopic surgery. Complications were reported in 2/68 cases; both were diverticula recurrence after endoscopic surgery. Conclusion: Killian–Jamieson diverticula is a rare diagnosis that should be considered in the evaluation of dysphagia, globus, and also suspected thyroid nodule. When patient symptoms warrant intervention, a transcervical approach, with or without cricopharyngeal myotomy, is most commonly utilized. In recent years, an endoscopic approach has been presented as an alternative for smaller diverticula. Further understanding of the optimal treatment and postoperative management for KJD requires larger cohorts. Level of Evidence: 4

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“…Nevertheless, bilateral cases have been described in up to 25% of cases [4,5]. Moreover, some cases describe the presence of both ZD and KJD simultaneously, which could suggest possible interrelating pathogenesis [6].…”

Section: Discussionmentioning

confidence: 99%

Killian Jamieson Diverticulum: A Rare Cause of Dysphagia

Alnimer¹,

Zakaria²,

Piper³

2021

Cureus

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Killian-Jamieson diverticula (KJD) and Zenker's diverticula (more common) share similar pathophysiology but are considered to be different types of phrenoesophageal diverticula. A 55-year-old female presented to the clinic with chronic dysphagia, halitosis, and regurgitation. Imaging modalities confirmed a Killian-Jamieson diverticulum, explaining her symptoms. She was offered different treatment options and decided to proceed with a less invasive endoscopic approach. Physicians should be aware of the variable presentations of KJD and the different available treatments as newer techniques are becoming more popular and preferable by patients.

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Simultaneously occurring Zenker's diverticulum and Killian–Jamieson diverticulum: case report and literature review

Abstract: Zenker's diverticulum and Killian-Jamieson diverticulum are diagnosed using radiological studies and endoscopy. Their differentiation is important, as surgical management differs. This paper reviews the literature on Killian-Jamieson diverticula and the management options available.

Cited by 19 publications

References 31 publications

Killian-Jamieson diverticulum lined with two epithelia in a Korean cadaver

Killian-Jamieson diverticulum lined with two epithelia in a Korean cadaver

Presentation and Management of Killian Jamieson Diverticulum: A Comprehensive Literature Review

Killian Jamieson Diverticulum: A Rare Cause of Dysphagia

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