May have aspiration. Diagnosis by Barium Swallow and esophageal motility studies. Dysphagia, typically followed by regurgitation without symptoms of heartburn. Barium Swallow shows pouch arising from lower pharynx, and usually stenotic or hypertrophic cricopharyngeus Etiology - possibly a pulsion diverticulum, secondary to cricopharyngeal achalasia. Benign esophageal tumors - rare Esophagitis Usually associated with heartburn, belching or reflux.
Food seems to stick behind sternum.
May see tertiary contractions on Barium Swallow. Therapy - antacids, H2 antagonists, elevation of head of bed, Nystatin if candida is seen. May need repair of hiatal hernia to control reflux. All Rights Reserved. Baylor College of Medicine.