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Cesar Palana MD on Instagram: "Zenker Diverticulum is a pharyngoesophageal pouch that forms just above the upper esophageal sphincter, typically in older adults. It presents with: • Intermittent dysphagia • Regurgitation of undigested food • Chronic cough • Halitosis • “Gurgling” or sensation of a lump in the throat 🧪 Diagnosis: • Gold standard = Barium swallow study • Avoid EGD initially due to risk of perforation 💡 Treatment: • Endoscopic stapling or open surgical repair for large or symptom
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