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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
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Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
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Retrograde Cricopharyngeus Dysfunction: The Jefferson Experience.

Sana H Siddiqui1, Emily S Sagalow1, Michele A Fiorella1

  • 1Department of Otolaryngology-Head and Neck Surgery, Jefferson Voice and Swallowing Center, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, U.S.A.

The Laryngoscope
|September 2, 2022
PubMed
Summary
This summary is machine-generated.

Retrograde cricopharyngeus dysfunction (R-CPD) is a condition causing inability to belch. Botulinum toxin injections effectively treated 88.2% of patients, with most learning about treatment via social media.

Keywords:
cricopharyngeussocial mediaswallowing

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Area of Science:

  • Otolaryngology
  • Gastroenterology

Background:

  • Retrograde cricopharyngeus dysfunction (R-CPD) is a recently described syndrome characterized by the inability to belch.
  • Limited institutional experience and understanding of R-CPD exist.

Purpose of the Study:

  • To report our center's experience in identifying and treating R-CPD.
  • To investigate patient referral sources, particularly social media, for this condition.

Main Methods:

  • Retrospective review of 85 patients treated with botulinum toxin injections for R-CPD between 2019 and 2022.
  • Data collected included demographics, symptoms, treatment response, and complications.
  • Patient referral sources were analyzed.

Main Results:

  • The majority of patients were young females presenting with inability to belch and bloating.
  • Botulinum toxin injections demonstrated an 88.2% success rate with transient dysphagia as the most common complication.
  • Social media was the primary source of patient referral.

Conclusions:

  • Botulinum toxin is an effective treatment for R-CPD.
  • Social media plays a significant role in patient awareness and medical referral for R-CPD.
  • Further research into R-CPD and its management is warranted.