Dysphagia endoscopy: Difference between revisions
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==Endoscopy== | ==Endoscopy== | ||
The endoscopy findings for dysphagia are as follows:<ref name="PhilpottGarg2017">{{cite journal|last1=Philpott|first1=Hamish|last2=Garg|first2=Mayur|last3=Tomic|first3=Dunya|last4=Balasubramanian|first4=Smrithya|last5=Sweis|first5=Rami|title=Dysphagia: Thinking outside the box|journal=World Journal of Gastroenterology|volume=23|issue=38|year=2017|pages=6942–6951|issn=1007-9327|doi=10.3748/wjg.v23.i38.6942}}</ref> <ref name="pmid2042117">{{cite journal| author=Scheurer U| title=[Dysphagia]. | journal=Ther Umsch | year= 1991 | volume= 48 | issue= 3 | pages= 150-61 | pmid=2042117 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2042117 }} </ref> | The endoscopy findings for dysphagia are as follows:<ref name="PhilpottGarg2017">{{cite journal|last1=Philpott|first1=Hamish|last2=Garg|first2=Mayur|last3=Tomic|first3=Dunya|last4=Balasubramanian|first4=Smrithya|last5=Sweis|first5=Rami|title=Dysphagia: Thinking outside the box|journal=World Journal of Gastroenterology|volume=23|issue=38|year=2017|pages=6942–6951|issn=1007-9327|doi=10.3748/wjg.v23.i38.6942}}</ref><ref name="pmid2042117">{{cite journal| author=Scheurer U| title=[Dysphagia]. | journal=Ther Umsch | year= 1991 | volume= 48 | issue= 3 | pages= 150-61 | pmid=2042117 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2042117 }} </ref> | ||
*Middle and lower biopsies of the esophagus should be taken with the intention of excluding eosinophilic esophagitis | *Middle and lower biopsies of the esophagus should be taken with the intention of excluding eosinophilic esophagitis | ||
*Majority will be normal or demonstrates only mild erosive disease | *Majority will be normal or demonstrates only mild erosive disease | ||
Revision as of 04:12, 5 February 2018
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American Roentgen Ray Society Images of Dysphagia endoscopy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2], Feham Tariq, MD [3]
Overview
Endoscopy
The endoscopy findings for dysphagia are as follows:[1][2]
- Middle and lower biopsies of the esophagus should be taken with the intention of excluding eosinophilic esophagitis
- Majority will be normal or demonstrates only mild erosive disease
Oropharyngeal Dysphagia
- A patient can be assessed using videoendoscopy, also known as flexible fiberoptic endoscopic examination of swallowing (FEES).
- A rigid scope can be placed into the oral cavity to view the structures of the pharynx and larynx.
Esophageal Dysphagia
If there is no suspicion of history of surgery for laryngeal or esophageal cancer, history of radiation or irritating injury, achalasia, zenker's diverticulum, endoscopy can be performed first. Any structural or mucosal abnormality is treated.
A normal endoscopy should be followed by manometry; and if manometry is also normal, the diagnosis is functional dysphagia.
References
- ↑ Philpott, Hamish; Garg, Mayur; Tomic, Dunya; Balasubramanian, Smrithya; Sweis, Rami (2017). "Dysphagia: Thinking outside the box". World Journal of Gastroenterology. 23 (38): 6942–6951. doi:10.3748/wjg.v23.i38.6942. ISSN 1007-9327.
- ↑ Scheurer U (1991). "[Dysphagia]". Ther Umsch. 48 (3): 150–61. PMID 2042117.