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[Dysphagia and cervical exostoses].

A P Pimenta

    Arquivos De Gastroenterologia
    |April 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Cervical exostoses can cause highly situated dysphagia by compressing the esophagus. Diagnosis relies on imaging and endoscopy, with conservative treatment initially, followed by surgery if needed.

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    Area of Science:

    • Gastroenterology
    • Otolaryngology
    • Orthopedic Surgery

    Background:

    • Dysphagia, or difficulty swallowing, can arise from various causes.
    • Highly situated (cervical) dysphagia specifically affects the upper esophagus.
    • Cervical exostoses, bony growths in the neck, are an under-recognized cause.

    Observation:

    • Presents three cases of patients experiencing cervical dysphagia.
    • Identifies compression and reflex contraction of the esophagus as the mechanism.
    • Highlights the role of cervical exostoses in these cases.

    Findings:

    • Diagnosis is primarily achieved through lateral radiographic views and endoscopic examinations.
    • Conservative management is the recommended initial treatment approach.

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  • Surgical excision of cervical exostoses is effective when conservative measures fail.
  • Implications:

    • Suggests cervical exostoses should be considered in the differential diagnosis of cervical dysphagia.
    • Emphasizes the importance of appropriate diagnostic imaging and endoscopic evaluation.
    • Provides a treatment algorithm ranging from conservative to surgical interventions for this specific condition.