Solid bolus swallowing in the radiologic evaluation of dysphagia
van Westen, Danielle LU
and Ekberg, Olle
LU
(1993)
In Acta Radiologica
34(4).
p.372-375
- Abstract
- Patients with dysphagia, heartburn and chest pain are regularly referred for radiologic evaluation of swallowing. The liquid barium swallow has been of great value for the biphasic evaluation of the pharynx and esophagus. Though many patients complain of dysphagia specifically for solids, solid bolus swallow is usually not part of the evaluation. For the present study we therefore included the use of a solid bolus with a diameter of 13 mm and interviewed the patients carefully for any symptoms during this tablet swallow. Of 200 patients examined, the tablet passed through the esophagus without delay in 102. In the 98 patients with delayed passage, the solid bolus arrest occurred in the pharynx in 5 and in the esophagus in 93. Arrest in the... (More)
- Patients with dysphagia, heartburn and chest pain are regularly referred for radiologic evaluation of swallowing. The liquid barium swallow has been of great value for the biphasic evaluation of the pharynx and esophagus. Though many patients complain of dysphagia specifically for solids, solid bolus swallow is usually not part of the evaluation. For the present study we therefore included the use of a solid bolus with a diameter of 13 mm and interviewed the patients carefully for any symptoms during this tablet swallow. Of 200 patients examined, the tablet passed through the esophagus without delay in 102. In the 98 patients with delayed passage, the solid bolus arrest occurred in the pharynx in 5 and in the esophagus in 93. Arrest in the esophagus was due to esophageal dysmotility in 48 patients. Twenty of these were symptomatic during the tablet swallow. A narrowing was the cause in 45, of whom 9 had symptoms. In 18 patients (9%) the solid bolus added key information to the radiologic evaluation. We therefore recommend that the solid bolus is included in the routine radiologic work-up of patients with dysphagia. Careful attention to symptoms during the tablet swallow is important. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1107231
- author
- van Westen, Danielle
LU
and Ekberg, Olle
LU
- organization
- publishing date
- 1993
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- abnormalities, Deglutination disorders, esophagus, function, pharynx, radiography
- in
- Acta Radiologica
- volume
- 34
- issue
- 4
- pages
- 4 pages
- publisher
- SAGE Publications
- external identifiers
-
- pmid:8318301
- scopus:0027165034
- ISSN
- 1600-0455
- DOI
- 10.1177/028418519303400413
- language
- English
- LU publication?
- yes
- id
- adac8fe9-fced-42ea-bfea-313fbb6ad9c8 (old id 1107231)
- date added to LUP
- 2016-04-01 16:35:34
- date last changed
- 2021-05-23 05:01:33
@article{adac8fe9-fced-42ea-bfea-313fbb6ad9c8,
abstract = {{Patients with dysphagia, heartburn and chest pain are regularly referred for radiologic evaluation of swallowing. The liquid barium swallow has been of great value for the biphasic evaluation of the pharynx and esophagus. Though many patients complain of dysphagia specifically for solids, solid bolus swallow is usually not part of the evaluation. For the present study we therefore included the use of a solid bolus with a diameter of 13 mm and interviewed the patients carefully for any symptoms during this tablet swallow. Of 200 patients examined, the tablet passed through the esophagus without delay in 102. In the 98 patients with delayed passage, the solid bolus arrest occurred in the pharynx in 5 and in the esophagus in 93. Arrest in the esophagus was due to esophageal dysmotility in 48 patients. Twenty of these were symptomatic during the tablet swallow. A narrowing was the cause in 45, of whom 9 had symptoms. In 18 patients (9%) the solid bolus added key information to the radiologic evaluation. We therefore recommend that the solid bolus is included in the routine radiologic work-up of patients with dysphagia. Careful attention to symptoms during the tablet swallow is important.}},
author = {{van Westen, Danielle and Ekberg, Olle}},
issn = {{1600-0455}},
keywords = {{abnormalities; Deglutination disorders; esophagus; function; pharynx; radiography}},
language = {{eng}},
number = {{4}},
pages = {{372--375}},
publisher = {{SAGE Publications}},
series = {{Acta Radiologica}},
title = {{Solid bolus swallowing in the radiologic evaluation of dysphagia}},
url = {{http://dx.doi.org/10.1177/028418519303400413}},
doi = {{10.1177/028418519303400413}},
volume = {{34}},
year = {{1993}},
}