Surgical Treatment of Killian-Jamieson Diverticulum

Abstract

Killian-Jamieson diverticulum is a rare diverticular disease. This disease differs from Zenker's diverticulum in its location and mechanism. Various treatment modality have been attempted, but traditional surgical treatment has been recommended for a symptomatic Killian-Jamieson diverticulum due to the concern of possible nerve injury. We performed surgical treatment by cervical incision. We report here on a case of Killian-Jamieson diverticulum and we briefly review the relevant literature.

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

“…Zenker's diverticula usually protrude to the left side, with only 10 per cent occurring on the right. Killian–Jamieson diverticula tend to be left-sided, although there have been reports of right-sided Killian–Jamieson diverticula, 26 bilateral Killian–Jamieson diverticula 21 , 27 and one report of a Killian–Jamieson diverticulum in association with a Zenker's diverticulum 5 . Our patient, who had a right-sided Killian–Jamieson diverticulum associated with a Zenker's diverticulum, is very unusual.…”

Surgical treatment of Killian‐Jamieson diverticulum: A case report and literature review

“…Rogers et al , Kitazawa et al , and Undavia et al performed surgical resection of the diverticulum without myotomy. Like our group, Boisvert et al and Kim et al were concerned with the underlying esophageal dysmotility and performed an esophagomyotomy associated with the diverticulectomy.…”

Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance

“…It is extremely important to differentiate the Zenker’s diverticulum from the Killian-Jamieson’s diverticulum, as the latter needs a distinct surgical approach, since it is located at the Killian-Jamieson’s area, which has a more intimate relation to the recurrent laryngeal nerve, since he crosses the aortic arch and posteriorly ascends to the neck. Iatrogenic lesion or pathological lesion of these nerves can result in muscular function loss, hoarseness and dysphonia [ 7 , 11-13 ].…”

“…The most common treatment for the Zenker’s diverticulum is endoscopic surgery, since it is minimally invasive and has a high success rate [ 4-6 ]. It is crucial to differentiate the Zenker’s diverticulum from the Killian-Jamieson diverticulum, considering the differences during surgical treatment [ 6 , 7 ]. The current study reports a Zenker’s diverticulum in a 76-year-old male.…”