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Morphological findings in dynamic swallowing studies of symptomatic patients

Scharitzer, M ; Pokieser, P ; Schober, E ; Schima, W ; Eisenhuber, E ; Stadler, A ; Memarsadeghi, M ; Partik, B ; Lechner, G and Ekberg, Olle LU (2002) In European Radiology 12(5). p.1139-1144
Abstract
The aim of this study was to assess the role of videofluoroscopy in the detection of structural abnormalities of the pharynx and esophagus in patients with different symptoms of impaired deglutition. Dynamic radiographic recording of deglutition was performed in 3193 consecutive patients (1578 men, 1615 women; mean age 54 years) suffering from dysphagia, suspicion of aspiration, globus sensation, and non-cardiac chest pain. We assessed different structural lesions from the oral cavity to the esophagus and classified them into eight categories. Their frequency and association with the different clinical symptoms were evaluated. Videofluoroscopy revealed 1040 structural abnormalities in 833 patients (26%) including mass lesions from the oral... (More)
The aim of this study was to assess the role of videofluoroscopy in the detection of structural abnormalities of the pharynx and esophagus in patients with different symptoms of impaired deglutition. Dynamic radiographic recording of deglutition was performed in 3193 consecutive patients (1578 men, 1615 women; mean age 54 years) suffering from dysphagia, suspicion of aspiration, globus sensation, and non-cardiac chest pain. We assessed different structural lesions from the oral cavity to the esophagus and classified them into eight categories. Their frequency and association with the different clinical symptoms were evaluated. Videofluoroscopy revealed 1040 structural abnormalities in 833 patients (26%) including mass lesions from the oral cavity to hyoid/larynx (n=66), pharyngeal diverticula (n=181), pharyngeal masses (n=78), other pharyngeal narrowings (n=71), webs (n=98), masses (n=39), and other narrowings (n=73) of the upper esophageal sphincter, esophageal diverticula (n=80), esophageal webs, rings and strictures (n=194), and intrinsic and extrinsic esophageal lesions (n=160). There was a considerable variance of findings for different symptoms. In a large proportion of symptomatic patients videofluoroscopy detects morphological abnormalities along pharynx and esophagus often combined with functional disorders. This fact underlines the role of videofluoroscopy as a diagnostic test for function as well as morphology. (Less)
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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
deglutition disorders, videofluoroscopy, esophagus, diseases
in
European Radiology
volume
12
issue
5
pages
1139 - 1144
publisher
Springer
external identifiers
  • pmid:11976859
  • wos:000175613700021
  • scopus:0036583170
ISSN
0938-7994
DOI
10.1007/s00330-001-1202-4
language
English
LU publication?
yes
id
f9041db6-7fea-418a-aff2-b2cc288e3464 (old id 893389)
date added to LUP
2016-04-01 11:36:48
date last changed
2022-02-03 02:01:16
@article{f9041db6-7fea-418a-aff2-b2cc288e3464,
  abstract     = {{The aim of this study was to assess the role of videofluoroscopy in the detection of structural abnormalities of the pharynx and esophagus in patients with different symptoms of impaired deglutition. Dynamic radiographic recording of deglutition was performed in 3193 consecutive patients (1578 men, 1615 women; mean age 54 years) suffering from dysphagia, suspicion of aspiration, globus sensation, and non-cardiac chest pain. We assessed different structural lesions from the oral cavity to the esophagus and classified them into eight categories. Their frequency and association with the different clinical symptoms were evaluated. Videofluoroscopy revealed 1040 structural abnormalities in 833 patients (26%) including mass lesions from the oral cavity to hyoid/larynx (n=66), pharyngeal diverticula (n=181), pharyngeal masses (n=78), other pharyngeal narrowings (n=71), webs (n=98), masses (n=39), and other narrowings (n=73) of the upper esophageal sphincter, esophageal diverticula (n=80), esophageal webs, rings and strictures (n=194), and intrinsic and extrinsic esophageal lesions (n=160). There was a considerable variance of findings for different symptoms. In a large proportion of symptomatic patients videofluoroscopy detects morphological abnormalities along pharynx and esophagus often combined with functional disorders. This fact underlines the role of videofluoroscopy as a diagnostic test for function as well as morphology.}},
  author       = {{Scharitzer, M and Pokieser, P and Schober, E and Schima, W and Eisenhuber, E and Stadler, A and Memarsadeghi, M and Partik, B and Lechner, G and Ekberg, Olle}},
  issn         = {{0938-7994}},
  keywords     = {{deglutition disorders; videofluoroscopy; esophagus; diseases}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{1139--1144}},
  publisher    = {{Springer}},
  series       = {{European Radiology}},
  title        = {{Morphological findings in dynamic swallowing studies of symptomatic patients}},
  url          = {{http://dx.doi.org/10.1007/s00330-001-1202-4}},
  doi          = {{10.1007/s00330-001-1202-4}},
  volume       = {{12}},
  year         = {{2002}},
}