{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T17:10:07Z","timestamp":1745773807346,"version":"3.40.4"},"reference-count":22,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 72-year-old woman presented with long-standing gastro-oesophageal reflux, regurgitation of swallowed food and worsening cervical dysphagia. Fluoroscopic barium oesophagography revealed a posterolateral pharyngeal pouch (Zenker\u2019s diverticulum (ZD)) complicating a \u2018cup and spill\u2019 oesophageal deformity with a smoothly tapered segment at the gastro-oesophageal junction. CT and high-resolution manometry confirmed that the underlying abnormality was a massively dilated oesophagus with aperistalsis and pan-oesophageal pressurisation, consistent with a diagnosis of oesophageal achalasia (type II). She underwent endoscopic stapled diverticulotomy, with good symptomatic relief. We discuss the aetiology of ZD, its management and the association here with oesophageal achalasia.<\/jats:p>","DOI":"10.1136\/bcr-2013-200702","type":"journal-article","created":{"date-parts":[[2013,12,12]],"date-time":"2013-12-12T12:11:31Z","timestamp":1386850291000},"page":"bcr2013200702","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Zenker\u2019s diverticulum complicating achalasia: a \u2018cup-and-spill\u2019 oesophagus"],"prefix":"10.1136","volume":"2013","author":[{"given":"Mark","family":"Sayles","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian A","family":"McGlashan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David G","family":"Grant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,12,12]]},"reference":[{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2008.07.022"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01532.x"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.3","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910801102"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.4","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300303"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.5","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21413"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.1992.tb01485.x"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.7","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1016\/0016-5085(92)91508-2","article-title":"Pharyngeal (Zenker's) diverticulum is a disorder of upper esophageal sphincter opening","volume":"103","author":"Cook","year":"1992","journal-title":"Gastroenterology"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2050.2006.00569.x"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.9","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-006-9286-y"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.10","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-011-1478-x"},{"key":"2025042709485150000_2013.dec12_1.bcr2013200702.11","doi-asserted-by":"crossref","unstructured":"Dobrowolsky A Fisichella PM . 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