Transcervical diverticulectomy for Killian–Jamieson diverticulum

Abstract

Surgery for Killian-Jamieson diverticulum of the esophagus is scarcely reported in the literature owing to the rarity of this entity. This is a case report of such a diverticulum and a description of the transcervical diverticulectomy that we performed on a 49-year-old lady. The patient was investigated for symptoms of gastroesophageal reflux disease and was diagnosed with a left-sided Killian-Jamieson diverticulum.

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

“…, 33 The base of the diverticulum lies posterior to the nerve, and the narrow operating field, combined with the use of ultrasonic shears, electrocautery or a stapling device, increase the risk of nerve damage. Open diverticulectomy, preferably using a transcervical approach, allows easier dissection of the RLN and easy transection of the diverticular base using an endoscopic stapling device 4 . Since 2010, there have been six reported cases advocating an open surgical approach to Killian–Jamieson diverticula, 4 , 9 , 23 , 26 , 27 , 37 with all but one patient 9 undergoing transcervical diverticulectomy.…”

“…Open diverticulectomy, preferably using a transcervical approach, allows easier dissection of the RLN and easy transection of the diverticular base using an endoscopic stapling device 4 . Since 2010, there have been six reported cases advocating an open surgical approach to Killian–Jamieson diverticula, 4 , 9 , 23 , 26 , 27 , 37 with all but one patient 9 undergoing transcervical diverticulectomy. The remaining patient underwent transcervical diverticulopexy.…”

“…Undavia et al 37 . and Siow et al 4 . recommended an open surgical approach to Killian–Jamieson diverticula.…”

“…Reports of Killian–Jamieson diverticula are limited, with less than 30 cases described in the literature since 1983 4 . Simultaneously occurring Zenker's diverticulum and Killian–Jamieson diverticulum has only been described once previously in the literature 5 …”

Endoscopic management of Killian-Jamieson diverticulum

“…Submucosal tunneling endoscopic septum division could also be considered, with the advantage of maintaining mucosal integrity. For operative candidates, surgery by a transcervical approach is favored because of the concern for recurrent laryngeal nerve injury 4 …”