Document Detail


Dysphagia--etiologic differentiation and therapy.
MedLine Citation:
PMID:  3127406     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case described in this paper demonstrates the importance of the history of dysphagia in diagnosing the cause of a swallowing disorder. The history localized the cause of the patient's dysphagia to the lower esophagus. It further established that the lesion was benign, that the dysphagia occurred only when solids were swallowed, and that even then it occurred intermittently--the sine qua non of a lower esophageal ring. For patients with a swallowing disorder, the preferred initial diagnostic procedure is a barium swallow. The procedure is noninvasive, it is the least costly option, and it detects lower esophageal rings, motility disorders, external compressions of the esophagus, and most mucosal and intraluminal diseases. Endoscopy (with or without biopsy) is the procedure of choice in evaluating mucosal and intraluminal disease, in that it offers a direct view of the lesion, as well as tissue for histopathologic examination. If the cause of a patient's dysphagia is not clear, other procedures may be chosen; they include giving the patient a bolus of food with barium. Patients with a lower esophageal ring should be urged to chew their food carefully. If the dysphagia is not satisfactorily controlled, esophageal dilation should be considered.
Authors:
P Kramer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hospital practice (Office ed.)     Volume:  23     ISSN:  8750-2836     ISO Abbreviation:  Hosp. Pract. (Off. Ed.)     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-05-04     Completed Date:  1988-05-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8404149     Medline TA:  Hosp Pract (Off Ed)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  125-35, 139, 141 passim     Citation Subset:  AIM; IM    
Affiliation:
Boston University.
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MeSH Terms
Descriptor/Qualifier:
Deglutition
Deglutition Disorders* / etiology,  physiopathology,  radiography
Diagnosis, Differential
Dilatation
Esophageal Stenosis / complications,  diagnosis,  radiography,  therapy
Esophagoscopy
Esophagus / radiography
Humans
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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