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Related Concept Videos

Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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Assessing Upper Esophageal Sphincter Function in Clinical Practice: a Primer.

Nitin K Ahuja1, Walter W Chan2,3

  • 1Division of Gastroenterology and Hepatology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Current Gastroenterology Reports
|January 16, 2016
PubMed
Summary
This summary is machine-generated.

Evaluating the upper esophageal sphincter (UES) is crucial for diagnosing swallowing disorders. This review details five diagnostic tools for UES assessment, highlighting their clinical utility and suggesting a multimodal approach for comprehensive pharyngeal function evaluation.

Keywords:
CricopharyngeusFiberoptic endoscopic evaluation of swallowingGlobus sensationOropharyngeal dysphagiaPharyngeal manometryVideofluoroscopy

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Area of Science:

  • Physiology
  • Gastroenterology
  • Otolaryngology

Background:

  • The upper esophageal sphincter (UES) is a critical component in the complex process of pharyngeal swallowing.
  • Clinical evaluation of UES function is necessary for diagnosing indeterminate symptoms and planning therapeutic strategies.

Purpose of the Study:

  • To review five diagnostic modalities for assessing pharyngeal swallowing and specifically UES function.
  • To outline the strengths, weaknesses, and clinical applicability of each assessment tool.

Main Methods:

  • Review of five distinct diagnostic tools used for evaluating upper esophageal sphincter function.
  • Analysis of each modality's logistical considerations and established versus emerging clinical practice status.

Main Results:

  • Multiple diagnostic tools are available for assessing UES function, with varying degrees of establishment in clinical practice.
  • Each modality offers unique insights, and their complementary information can enhance the understanding of pharyngeal function.

Conclusions:

  • A multimodal diagnostic approach, integrating information from various assessment tools, is advantageous for a comprehensive evaluation of pharyngeal function.
  • The selection of diagnostic tools should consider their specific strengths, weaknesses, and clinical context.