Dysphagia endoscopy
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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 of functional dysphagia is made.
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.