Radiologic investigation of dysphagia.

Levine, Marc S.; Rubesin, Stephen E.

doi:10.2214/ajr.154.6.2110721

Cited by 58 publications

(24 citation statements)

References 18 publications

(4 reference statements)

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“…In the lateral projection, the bulk of the shoulders may obscure the lower pharynx, which is sometimes alleviated by having the patient actively droop the shoulders. Ultimately, there will be many instances when, despite these maneuvers, part of the pharynx remains obscured [6,8,10].…”

Section: Discussionmentioning

confidence: 99%

“…They may subsequently lead to considerable morbidity and mortality due to associated swallowing difficulties and aspiration pneumonia. In addition, diseases of the esophagus may be associated with changes in the pharynx, and separate disorders frequently involve the pharynx and the esophagus simultaneously, requiring that an examination of the entire swallowing chain be completed [1][2][3][4][5][6]. The standard views of the pharynx include the frontal and lateral projections.…”

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confidence: 99%

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The oblique pharyngogram: value in the assessment of dysphagia

et al. 1999

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

The oblique pharyngogram: value in the assessment of dysphagia

et al. 1999

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“…Gastroesophageal reflux disease is a condition commonly encountered in clinical practise which may result in a variety of troublesome symptoms including heartburn, regurgitation, and chest pain [3, 4, 5]. Classic radiographic features of reflux disease include changes in the esophageal mucosa (nodularity and ulceration) as well as the esophageal fold pattern (thickening and lobulation).…”

Section: Discussionmentioning

confidence: 99%

The Corrugated Esophagus, a Sign of Severe Reflux Disease: Radiographic and Endoscopic Appearance

Low¹,

O’Connor

2001

Dig Surg

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Purpose: To present the appearance of esophageal scarring resulting in a corrugated configuration seen on barium radiographs and through the endoscope. Materials and Methods: Barium radiographs and endoscopic images obtained in 8 patients with a fixed deformity of the esophagus which resulted in a corrugated pattern were retrospectively reviewed. All patients (6 males, 2 females) presented long histories of gastroesophageal reflux disease; they were aged 29–84 (mean 46.0) years. Six patients complained of obstructive symptoms (dysphagia or recurrent food impactions). Results: All of the lesions occurred in the mid or distal esophagus, with an average length of 11.1 (range 4–22) cm, and an average diameter of 15.4 (range 9–22) mm. Additional findings included hiatal hernia (n = 6), distal esophageal scarring (n = 3), esophageal fold thickening (n = 1) and intramural pseudodiverticula (n = 1). Conclusion: The finding of a corrugated pattern of the esophagus is suggestive of chronic severe gastroesophageal reflux disease. The reduction in esophageal caliber as a consequence often leads to symptomatic dysphagia.

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“…Thus, they lead to improvement of the swallowing reflex that may reduce the risk of aspiration. Although videofluoroscopy is the gold standard for assessment of swallowing abnormalities [7], the effects of ACE inhibitors on swallowing have not been evaluated by videofluoroscopy. The objective of our present study was to determine the effects of ACE inhibitors on swallowing dysfunction videofluoroscopically in elderly patients with stroke.…”

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confidence: 99%