Management of globus pharyngeus: review of 699 cases

Abstract

The principal reason for performing investigations in patients with globus pharyngeus is to detect a pharyngeal or upper oesophageal malignancy presenting this way. There is uncertainty regarding both the necessity for investigation in globus patients and the first line investigation of choice in the screening of such patients. The authors therefore undertook a retrospective study of 699 patients who presented with globus sensation. Of these, 451 patients (64.5 per cent) had a typical history and in these patients, outpatient examination, including fibre-optic nasendoscopy was able to detect all pathologies, except one insignificant pharyngeal pouch, which required no intervention and one patient with a distal peptic stricture. In patients with atypical symptoms the combination of fibre-optic nasendoscopy and barium swallow identified all pathologies (five aerodigestive tract malignancies) except one distal peptic stricture. The authors concluded that if out-patient examination is adequate, no further investigation of typical globus symptoms is required. Such a policy would produce significant savings for both out-patient and radiology services.

Psychological Distress in Patients having Globus Pharyngeus

“…This finding is in support of several studies. [3][4][5] It may be due to many factors; gender based violence, low or subordinate social status, undervalued domestic work, less pay, expected work as a homemaker and a breadwinner, and difficulty to advance in their careers. 13 Psychological distress in study group was significantly higher than that of control (Table 3).…”

Study the effect of osteopathic manipulation treatment in globus pharyngeus patients

“…If it is associated with dysphagia, odynophagia, change in voice and sudden loss of weight than patients under goes certain investigations like barium swallow, upper GI endoscopy, fiber-optic laryngeal examination, pH monitoring etc. 13 Most of the cases in our study do not require any investigation. We make the diagnosis on the basis of history and clinical examinations.…”

Paresthesias of the upper respiratory tract

“…R. Harar, S. Kumar и соавт. [31] обследовали 699 пациентов с жалобами на КГ, только в 5% случаев выявили злокачественные новообразования верхних от-делов пищеварительного тракта. Также доброкачествен-ную природу КГ отмечают N. Oishi и соавт.…”