Sun Guoyao, Jia Wen, Yang Zhuo, Liu Jiao, Sun Yong
Department of Endoscopy General Hospital of Northern Theater Command Shenyang Liaoning China.
JGH Open. 2025 Mar 5;9(3):e70127. doi: 10.1002/jgh3.70127. eCollection 2025 Mar.
Pharyngoesophageal diverticulum, including the most common Zenker's diverticulum, Killian-Jamieson diverticulum, and the rarer Laimer's diverticulum, require accurate differentiation for proper treatment. This case report explores the endoscopic features and the diagnostic and therapeutic value of endoscopic ultrasound (EUS) in the management of Killian-Jamieson diverticulum.
A 57-year-old woman presented with dysphagia for solids over the past three months. Esophagogastroduodenoscopy (EGD) revealed an esophageal diverticulum located below the upper esophageal sphincter. EUS measured the diverticulum to be 1.0 cm by 1.4 cm and confirmed the absence of muscularis propria, thereby ruling out Laimer's diverticulum. The patient underwent flexible endoscopic septum division (FESD) without any adverse events. A barium esophagram three months post-surgery indicated a left-sided Killian-Jamieson diverticulum.
This case highlights the importance of combining endoscopic features with barium swallow and EUS for accurate diagnosis of Killian-Jamieson diverticulum. The results suggest that such an integrated diagnostic approach enhances diagnostic accuracy and guides treatment, offering insights into the management of pharyngoesophageal diverticulum.
咽食管憩室，包括最常见的Zenker憩室、Killian-Jamieson憩室以及较罕见的Laimer憩室，为进行恰当治疗需要准确鉴别。本病例报告探讨了Killian-Jamieson憩室内镜检查特征以及内镜超声（EUS）在其管理中的诊断和治疗价值。
一名57岁女性在过去三个月出现固体食物吞咽困难。食管胃十二指肠镜检查（EGD）显示食管上括约肌下方有一个食管憩室。EUS测量憩室大小为1.0厘米×1.4厘米，并确认无固有肌层，从而排除Laimer憩室。患者接受了柔性内镜隔膜切开术（FESD），未出现任何不良事件。术后三个月的食管钡餐造影显示为左侧Killian-Jamieson憩室。
本病例突出了结合内镜特征、吞钡检查和EUS对准确诊断Killian-Jamieson憩室的重要性。结果表明，这种综合诊断方法可提高诊断准确性并指导治疗，为咽食管憩室的管理提供了见解。
