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Updated: Aug 15, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Dysphagia caused by a foreign body
M P Hiorns1, N Patwardhan, L Spitz
1Institute of Child Health, London, UK.
Insights
A large esophageal foreign body, undetected for five years, caused a boy's dysphagia. This case highlights the importance of considering foreign bodies in pediatric dysphagia evaluations.
Area of Science:
- Pediatric Gastroenterology
- Otolaryngology
- Diagnostic Imaging
Background:
- Dysphagia in children is often attributed to neurological deficits.
- Persistent or unexplained dysphagia warrants a thorough diagnostic workup.
Observation:
- A pediatric patient presented with a prolonged history of dysphagia.
- Initial assessments suggested neurological impairment as the cause.
Findings:
- A large esophageal foreign body was identified as the underlying cause of dysphagia.
- The foreign body had a central lumen, permitting passage of liquids and semisolids, thus evading detection for five years.
Implications:
- Esophageal foreign bodies should be a key consideration in the differential diagnosis of pediatric dysphagia.
- Advanced imaging may be crucial for identifying radiopaque or partially obscured foreign bodies.
Abstract:
A boy with a long history of dysphagia attributed to neurological impairment was shown to have a large oesophageal foreign body. It had remained undetected for five years as a central lumen allowed the passage of liquids and semisolids. Foreign bodies must be excluded in children with dysphagia.
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