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 Plummer Vinson Syndrome vs. Zenker's Diverticulum  



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Author9 Posts
  #1

What r a few key points for each?




  #2

Plummer Vinson Syndrome
atrophic glossitis, esophagial webs, iron-def. anemia, increased risk of carcinoma
Zenker's Diverticulum
periesophagial inflamation and scarring, location - above the upper esophageal sphincter


  #3

what about Mallory-Weiss syndrome vs. Boerhaave's syndrome


  #4

mallory weiss
tear of distal esophagus (due to retching in alcoholics n bulimics)

boerhaave's
rupture of distal esophagus (due to endoscopy)


  #5

"mash" wrote:
mallory weiss
tear of distal esophagus (due to retching in alcoholics n bulimics)

boerhaave's
rupture of distal esophagus (due to endoscopy)


Mash, I think:
Mallory Weiss is tear of the mucosaof distal esophagus due to reasons u mentioned.

Boerhaave's is a complete tear of the esophagus due to endoscopy but the main reason is BULIMIA. The physician would note the hamman's crunch (forgive the spelling) upon ascultation due to air that escapes from esophagus.


  #6

and Boerhaave's syndrome can be a complication of Mallory-Weiss syndrome


  #7

yeah, in mallory weiss there r linear tears thru mucosa n submucosa in d distal esophagus.
most common cause of boerhaave's is endoscopy(goljan) though retching in alcoholics n bulimia can cause it too.
it is associated with the clinical triad of vomiting, chest pain and subcutaneous/mediastinal emphysema


  #8

*zenker's diverticulum(false diverticulum of herniation of mucosa between pharynx and esophagus)
; regurgitate shortly after eating...

why not this(regurgitation) can happen in Plummer-vinson syndrome?

because of the location of esophageal web?
regurgitation is not the sxs of PVS? it's a web so food can go down? just dysphagia?(difficulty swallowing)

thanks in advance.



  #9

Lin: I would say the answer is, that the upper esophageal sphincter (UES) blocks regurgitation of solids from the esophagus in Plummer-Vinson syndrome. This does not happen in Zenker's Diverticulum b/c the diverticulum is located ABOVE the UES.

And YES - I do know this post is old :-)

By the by, anyone know why Goljan writes that Zenker's is a problem of the upper esophagus (RR3 p. 332)?





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