<prompt> Which of the following is TURE about Zenkers diveiculum:It is asymptomaticOccurs in the mid-esophagusTreatment is simple excisionIt occurs in children  <response>: Answer is C Treatment is Simple excision Zenkers diveiculum may he managed by simple excision of the pouch. Zenkers diveiculum is usually symptomatic and not asymptomatic Characteristic symptoms of Zenkers Diveiculum Intermittent dysphagia Regurgitation Gurgling sound in neck Halitosis Zenkers Diveiculum occurs in the pharynx and not in the esophagus Zenkers diveiculum or llypopharyngeal Diveiculum is a Pulsion diveiculum where pharyngeal mucosa herniates through the Killans dehiscence e.Killans dehiscencedeg is a weak area of pharynx between two pas of inferior constrictor musclee Usually seen in elderly after 60 years of agee Herniation stas in midline and lies first behind the esophagus and then to its left. it occurs in pharynx and not in esophagus. Mouth of the sac is wider than the opening of esophagus and food preferentially enters the pouch. Dysphagia is the prominent manifestation. It appears after a few swallows. When pouch gets filled with food, it presses on the esophagus. Gurgling sound is produced on swallowine Food may regurgitate at night when patient is recumbent causing cough and aspiration pneumonia Patient is malnourished due to dysphagia Zenker s diveiculum is usually seen in elderly and not in children. Condition is usually sen after 60 years of age elderly Zenkers diveiculum may be managed by simple excision o fthe pouch Treatment options for Zenkers diveiculum Simple Excision of pouch Excision of pouch and cricopharyngeal myotomydeg Dahlmans proceduredeg :Done in poor-risk debilitated patients. The paition wall between esophagus and pouch is divided by diathermy. 