Dysphagia endoscopy: Difference between revisions
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{{Dysphagia}} | {{Dysphagia}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{HQ}}, {{FT}} | ||
==Overview== | |||
==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> | |||
*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=== | ===Oropharyngeal Dysphagia=== | ||
A patient can also be assessed using [[videoendoscopy]], also known as [[flexible fiberoptic endoscopic examination of swallowing]] ([[FEES]]). The instrument, is placed into the nose until the clinician can view the [[pharynx]] and then he or she examines the pharynx and [[larynx]] before and after swallowing. During the actual swallow, the camera is blocked from viewing the anatomical structures. A rigid scope, placed into the oral cavity to view the structures of the pharynx and larynx, can also be used, however; the patient cannot swallow. | A patient can also be assessed using [[videoendoscopy]], also known as [[flexible fiberoptic endoscopic examination of swallowing]] ([[FEES]]). The instrument, is placed into the nose until the clinician can view the [[pharynx]] and then he or she examines the pharynx and [[larynx]] before and after swallowing. During the actual swallow, the camera is blocked from viewing the anatomical structures. A rigid scope, placed into the oral cavity to view the structures of the pharynx and larynx, can also be used, however; the patient cannot swallow. | ||
Revision as of 21:02, 31 January 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]
- 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 also be assessed using videoendoscopy, also known as flexible fiberoptic endoscopic examination of swallowing (FEES). The instrument, is placed into the nose until the clinician can view the pharynx and then he or she examines the pharynx and larynx before and after swallowing. During the actual swallow, the camera is blocked from viewing the anatomical structures. A rigid scope, placed into the oral cavity to view the structures of the pharynx and larynx, can also be used, however; the patient cannot swallow.
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.