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Related Experiment Videos

[Deglutition disorders]

E K Walther1

  • 1Universitäts-HNO-Klinik Bonn.

HNO
|October 17, 1998
PubMed
Summary
This summary is machine-generated.

Dysphagia, difficulty swallowing, and globus pharyngis, a throat lump sensation, require a multidisciplinary diagnostic approach. Early identification and treatment are crucial for managing these complex conditions.

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[Diagnosis and therapy of deglutition disorders].

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Area of Science:

  • Gastroenterology and Neurology
  • Otolaryngology
  • Diagnostic Imaging and Electrophysiology

Context:

  • Dysphagia involves impaired food passage, while globus pharyngis is a throat lump sensation often unrelated to swallowing.
  • Cervical spine issues and post-surgical complications can cause dysphagia.
  • Neurogenic origins are indicated by difficulties swallowing fluids, alongside potential dyscoordinated swallowing and respiratory compromise.

Purpose:

  • To outline the diagnostic procedures for dysphagia and globus pharyngis.
  • To differentiate between various causes, including structural, neurogenic, and reflux-related.
  • To emphasize the need for a comprehensive evaluation.

Summary:

  • Diagnosis relies on history, clinical exams, endoscopy, dynamic imaging (videofluoroscopy, manometry), and pH monitoring.

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  • Potential causes range from cervical spine abnormalities and post-surgical effects to neurogenic disorders and gastroesophageal reflux disease (GERD).
  • Esophageal motility disorders and GERD-related esophagitis are key considerations, particularly for globus sensation.

    • Impact:

    • Highlights the complexity of dysphagia and globus symptoms, necessitating a multidisciplinary approach for accurate diagnosis.
    • Underscores the importance of excluding GERD and esophagitis in patients presenting with globus sensation.
    • Aims to improve patient outcomes through timely and effective treatment strategies informed by thorough diagnostics.