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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)
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author
and
organization
publishing date
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
2020-06-14 05:10:06
@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},
  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},
}