Review: Current Trends in the Diagnosis and Management of Globus Pharyngeus

Mitchell, S N; Olaleye, Oladejo; Weller, Matthew

doi:10.4236/ijohns.2012.13013

Cited by 10 publications

(9 citation statements)

References 35 publications

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“…This finding support the fact that psychiatric disorder is one of the etiological factor of Globus pharyngeus. 1,2 The patient who present with Globus should be evaluated for any organic cause like gastro-esophageal reflux, pharyngeal inflammation, cricopharyngeal spasm, sinusitis, malignancy etc. and if no obvious cause found, should be sent for psychological evaluation.…”

Section: Discussionmentioning

confidence: 99%

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Psychological Distress in Patients having Globus Pharyngeus

Acharya¹,

Singh²,

Pokharel³

2014

J Lumbini Med Coll

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Introduction: Globus sensation is described as a constant feeling of a lump or foreign body in the throat in absence of pain and dysphagia. It is a common complaint in Ear Nose and Throat clinics. Etiology of this condition remains multifactorial and unclear. Psychiatric disorder has been described as one of the cause of globus. The objective of this study is to evaluate the occurrence of psychological distress in patients complaining of globus sensation in throat coming to our centre. Methods: A case-control study was done. Patients coming to Outpatient of Ear Nose and Throat Department of Lumbini Medical College Teaching Hospital with complain of globus and not having an organic explanation of the condition were included. Age, sex and socio-economic condition matched control group was selected from healthy visitors (patient parties). Validated Nepali version of GHQ-12 was used to assess the psychological distress. Results: Psychological distress was present in 72.69% of the cases and 39.91% in the control group. The difference was statistically significant. Conclusion: Psychological distress was significantly higher in the patients with globus pharyngeus compared to the control group. It was also present in a larger fraction of the controlgroup. The patient who present with Globus should undergo psychiatric evaluation after organic causes have been ruled out. We recommend a national policy to evaluate the population for their psychiatric health.

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Section: Discussionmentioning

confidence: 99%

“…Gastroesophageal reflux, pharyngeal inflammation, cricopharyngeal spasm, sinusits and psychogenic factors remain the most common cause of globus. 1,2 It is reported to have been experienced by up to 45% of the population. 1 Many believe that it is primarily a disease of female, Permission was obtained from the ethical committee of LMC.…”

Section: Introductionmentioning

confidence: 99%

Psychological Distress in Patients having Globus Pharyngeus

Acharya¹,

Singh²,

Pokharel³

2014

J Lumbini Med Coll

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“…Gastro-esophageal reflux, pharyngeal inflammation, cricopharyngeal spasm, sinusits and psychogenic factors remain the most common cause of globus. 1,2 The symptom is considered functional when no apparent organic cause is detected. In that case the symptoms must be positively identified as psychologically related to some underlying mental conflict or need.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Co-morbidities Among Patients of Globus Pharyngeus Attending Psychiatry Clinic of a Teaching Hospital

Shrestha

Sharma

Devkota

2018

J Psychiatr Assoc Nepal

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Introduction: Globus sensation is described as a constant feeling of a lump, something stuck or foreign body in the throat associated with an uncomfortable experience of dysphagia or choking. It is a common complaint in Ear, Nose and Throat clinics. The symptom is considered functional when no apparent organic cause is detected. In that case the symptoms must be positively identified as psychologically related to some underlying mental conflict or need. The objective of this study is to evaluate the occurrence of psychiatric Co-morbidities in patients complaining of globus sensation in throat coming to psychiatric clinic. Material and Method: A case-control study was done. Patients coming to Outpatient of psychiatry OPD which were referred from Ear, Nose and Throat Department of Lumbini Medical College Teaching Hospital with complain of globus and not having an organic explanation of the condition were included. Age, sex and socio-economic condition matched control group was selected from healthy visitors (1st degree relatives). Mini International Neuropsychiatric Interview, English version; 5.0.0.,HAM-D/HAM-A, were applied to rule out depression, anxiety and assess psychiatric co-morbidities. Final ICD-10 Criteria were done for diagnosis which were made from two psychiatrists. Results: About 64.28 % (n=45) of globus patients had psychiatric co-morbidities which was significantly higher (p<0.0151, odds ratio 0.46) than their relatives attending with the patients. Major depressive disorder was found in 25.71% (n=18), Anxiety disorder in 22.85% (n=16), Undifferentiated somatoform disorder in 7.14 % (n=5), Dysthymia each in 7.14% (n=5), Psychosis in 1.4% (n=1), Personality Disorder in 1.4 % (n=1). Conclusion: Burden of psychiatric co-morbidities among the patients of globus is quiet high. So, the patient who present with Globus should undergo psychiatric evaluation after organic causes have been ruled out. They should be regularly screened for psychiatric illness and an integrated treatment approach can be taken for them.

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“…1 Despite being such a common complaint, the exact aetiology remains unknown although it is hypothesised to be multifactorial. [3][4][5] Globus pharyngeus has no objective clinical findings and as such, there is no standardised protocol for the investigation of patients with these symptoms. Regimes of investigation therefore remain widely varied.…”

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confidence: 99%

The role of transnasal oesophagoscopy in the management of globus pharyngeus and non-progressive dysphagia

Jemah

Stew

2016

annals

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INTRODUCTION Transnasal oesophagoscopy is a relatively new method of examining the upper aerodigestive tract via the nasal passage as an outpatient procedure without the need for sedation. It has been shown to be a well tolerated, safe and accurate technique, that can therefore be used in the investigation of patients thought to have globus pharyngeus and other non sinister causes of dysphagia. METHODS A total of 150 consecutive patients undergoing transnasal oesophagoscopy were analysed retrospectively. RESULTS The main indications for this procedure were non-progressive dysphagia (n=68, 45%) and globus pharyngeus (n=60, 40%). Transnasal oesophagoscopy was normal in 65% of patients and 42% of patients were discharged from clinic at the same appointment with no further investigation. The most common positive findings were laryngeal erythema (13%) and oesophagitis (10%). CONCLUSIONS Transnasal oesophagoscopy is a useful adjunct to the management of patients with the symptoms of globus pharyngeus and non-progressive dysphagia.

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Review: Current Trends in the Diagnosis and Management of Globus Pharyngeus

Cited by 10 publications

References 35 publications

Psychological Distress in Patients having Globus Pharyngeus

Psychological Distress in Patients having Globus Pharyngeus

Psychiatric Co-morbidities Among Patients of Globus Pharyngeus Attending Psychiatry Clinic of a Teaching Hospital

The role of transnasal oesophagoscopy in the management of globus pharyngeus and non-progressive dysphagia

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