| Dysphagia--etiologic differentiation and therapy. | |
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MedLine Citation:
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PMID: 3127406 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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P Kramer |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hospital practice (Office ed.) Volume: 23 ISSN: 8750-2836 ISO Abbreviation: Hosp. Pract. (Off. Ed.) Publication Date: 1988 Mar |
Date Detail:
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Created Date: 1988-05-04 Completed Date: 1988-05-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8404149 Medline TA: Hosp Pract (Off Ed) Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 125-35, 139, 141 passim Citation Subset: AIM; IM |
Affiliation:
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Boston University. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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