Dysphagia surgery: Difference between revisions
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Surgical treatments are usually only recommended as a last resort and is dependent on the underlying cause of dysphagia. | Surgical treatments are usually only recommended as a last resort and is dependent on the underlying cause of dysphagia. | ||
* [[Zenker's diverticulum|Zenker's Diverticulectomy]] | * [[Zenker's diverticulum surgery|Zenker's Diverticulectomy]] | ||
**[[Surgery]] is the most definitive therapy for the [[Zenker's diverticulum]].. | **[[Surgery]] is the most definitive therapy for the [[Zenker's diverticulum]].. | ||
* [[Tracheotomy]] | * [[Tracheotomy]] | ||
** Used for chronic aspiration | |||
** The four major types of percutaneous tracheotomy: | |||
*** Ciaglia's dilation over guidewire | |||
*** Grigg's modification employing guidewire dilating forceps | |||
*** Fantoni's translaryngeal tracheotomy, in which the tracheostomy tube is pulled from inside the trachea to outside at once without the need for serial dilation | |||
*** PercuTwist method, which utilizes a screw-in dilator | |||
* [[Tracheostomy]] | * [[Tracheostomy]] | ||
* Vocal fold augmentation/injection | * Vocal fold augmentation/injection | ||
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* Please click on each medical condition listed below to read about the management. | * Please click on each medical condition listed below to read about the management. | ||
** [[Esophageal stricture procedure|Peptic stricture]] | ** [[Esophageal stricture procedure|Peptic stricture]] | ||
** [[Plummer-Vinson syndrome|Esophageal rings and webs]] | ** [[Plummer-Vinson syndrome surgery|Esophageal rings and webs]] | ||
** [[Esophageal cancer]] | ** [[Esophageal cancer surgery|Esophageal cancer]] | ||
** [[Achalasia]] | ** [[Achalasia surgery|Achalasia]] | ||
**Spastic motility disorders | **Spastic motility disorders | ||
***[[Diffuse esophageal spasm]] | ***[[Diffuse esophageal spasm surgery|Diffuse esophageal spasm]] | ||
***[[Nutcracker esophagus]] | ***[[Nutcracker esophagus surgery|Nutcracker esophagus]] | ||
***Hypertensive lower esophageal sphincter | ***Hypertensive lower esophageal sphincter | ||
***Nonspecific spastic esophageal motility disorders | ***Nonspecific spastic esophageal motility disorders | ||
Revision as of 14:37, 1 February 2018
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Dysphagia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Dysphagia surgery On the Web |
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American Roentgen Ray Society Images of Dysphagia surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Feham Tariq, MD [2], Hamid Qazi, MD, BSc [3]
Overview
Surgery is not the first-line treatment option for patients with dysphagia. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
Indications
- Surgery is not the first-line treatment option for patients with dysphagia. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
Surgical Treatment of Oropharyngeal Dysphagia
Surgical treatments are usually only recommended as a last resort and is dependent on the underlying cause of dysphagia.
- Zenker's Diverticulectomy
- Surgery is the most definitive therapy for the Zenker's diverticulum..
- Tracheotomy
- Used for chronic aspiration
- The four major types of percutaneous tracheotomy:
- Ciaglia's dilation over guidewire
- Grigg's modification employing guidewire dilating forceps
- Fantoni's translaryngeal tracheotomy, in which the tracheostomy tube is pulled from inside the trachea to outside at once without the need for serial dilation
- PercuTwist method, which utilizes a screw-in dilator
- Tracheostomy
- Vocal fold augmentation/injection
- Thryoplasty medialization
- Arytenoid adduction
- Partial or total laryngectomy
- Laryngotracheal separation
- Supralaryngetomy
- Palatoplasty
- Cricopharyngeal Myotomy
- Percutaneous endoscopic gastrostomy
Contraindications
Surgical Treatment of Esophageal Dysphagia
- Surgical treatment of esophageal dysphagia is dependent on the underlying cause of dysphagia.
- Please click on each medical condition listed below to read about the management.
- Peptic stricture
- Esophageal rings and webs
- Esophageal cancer
- Achalasia
- Spastic motility disorders
- Diffuse esophageal spasm
- Nutcracker esophagus
- Hypertensive lower esophageal sphincter
- Nonspecific spastic esophageal motility disorders