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Clinical and radiologic evaluation reveals high prevalence of abnormalities in young adults with dysphagia

Lundquist, Ann; Olsson, Rolf LU and Ekberg, Olle LU (1998) In Dysphagia 13(4). p.202-207
Abstract
The purpose of this study was to retrospectively evaluate the radiologic findings in young adults with dysphagia undergoing barium swallow and to compare these with the final clinical diagnosis. Clinical history, barium swallow, endoscopy (21 patients), manometry (18 patients), 24 h pH monitoring (4 patients), and outcome of treatments were studied and compared in 43 patients aged 14-30 years (mean 24 years). There were 26 men and 17 women. Duration of symptoms varied between 2 weeks and 22 years and included globus (n = 22), obstruction (n = 31), water brash (n = 6), classic reflux symptoms (n = 10), atypical reflux symptoms (n = 9), slow eating (n = 6), and vomiting (n = 11). The final diagnosis was achalasia (n = 2), arteria lusoria (n... (More)
The purpose of this study was to retrospectively evaluate the radiologic findings in young adults with dysphagia undergoing barium swallow and to compare these with the final clinical diagnosis. Clinical history, barium swallow, endoscopy (21 patients), manometry (18 patients), 24 h pH monitoring (4 patients), and outcome of treatments were studied and compared in 43 patients aged 14-30 years (mean 24 years). There were 26 men and 17 women. Duration of symptoms varied between 2 weeks and 22 years and included globus (n = 22), obstruction (n = 31), water brash (n = 6), classic reflux symptoms (n = 10), atypical reflux symptoms (n = 9), slow eating (n = 6), and vomiting (n = 11). The final diagnosis was achalasia (n = 2), arteria lusoria (n = 1), esophagitis (n = 1), esophageal dysfunction (n = 11), esophageal stricture (n = 5), gastroesophageal reflux disease (n = 8), and pharyngeal dysfunction (n = 2). Thirteen patients were assessed to be normal. The result of the barium swallow was in agreement with the final diagnosis in all but 3 patients who were assessed as normal, and the final diagnosis was esophagitis (n = 1), dysmotility (n = 1), and reflux disease (n = 1). Anatomic and functional abnormalities are common in young adults with dysphagia. Barium swallow reveals the explanation of the symptoms in 70% of such patients. Radiology therefore should be the method of choice for the investigation of dysphagic young adults. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Esophagus, Pharynx, Dysphagia, Achalasia, GERD, Esophageal stricture, Deglutition, Deglutition disorders
in
Dysphagia
volume
13
issue
4
pages
202 - 207
publisher
Springer
external identifiers
  • pmid:9716750
  • scopus:0031751652
ISSN
1432-0460
DOI
10.1007/PL00009572
language
English
LU publication?
yes
id
fcca2a43-9d2d-4813-b8cf-ef277b857c55 (old id 1113142)
date added to LUP
2008-07-14 12:40:35
date last changed
2017-01-01 04:25:40
@article{fcca2a43-9d2d-4813-b8cf-ef277b857c55,
  abstract     = {The purpose of this study was to retrospectively evaluate the radiologic findings in young adults with dysphagia undergoing barium swallow and to compare these with the final clinical diagnosis. Clinical history, barium swallow, endoscopy (21 patients), manometry (18 patients), 24 h pH monitoring (4 patients), and outcome of treatments were studied and compared in 43 patients aged 14-30 years (mean 24 years). There were 26 men and 17 women. Duration of symptoms varied between 2 weeks and 22 years and included globus (n = 22), obstruction (n = 31), water brash (n = 6), classic reflux symptoms (n = 10), atypical reflux symptoms (n = 9), slow eating (n = 6), and vomiting (n = 11). The final diagnosis was achalasia (n = 2), arteria lusoria (n = 1), esophagitis (n = 1), esophageal dysfunction (n = 11), esophageal stricture (n = 5), gastroesophageal reflux disease (n = 8), and pharyngeal dysfunction (n = 2). Thirteen patients were assessed to be normal. The result of the barium swallow was in agreement with the final diagnosis in all but 3 patients who were assessed as normal, and the final diagnosis was esophagitis (n = 1), dysmotility (n = 1), and reflux disease (n = 1). Anatomic and functional abnormalities are common in young adults with dysphagia. Barium swallow reveals the explanation of the symptoms in 70% of such patients. Radiology therefore should be the method of choice for the investigation of dysphagic young adults.},
  author       = {Lundquist, Ann and Olsson, Rolf and Ekberg, Olle},
  issn         = {1432-0460},
  keyword      = {Esophagus,Pharynx,Dysphagia,Achalasia,GERD,Esophageal stricture,Deglutition,Deglutition disorders},
  language     = {eng},
  number       = {4},
  pages        = {202--207},
  publisher    = {Springer},
  series       = {Dysphagia},
  title        = {Clinical and radiologic evaluation reveals high prevalence of abnormalities in young adults with dysphagia},
  url          = {http://dx.doi.org/10.1007/PL00009572},
  volume       = {13},
  year         = {1998},
}