Approach to the Patient with Dysphagia, Odynophagia, or Noncardiac Chest Pain

Smout, A. J. P. M.

doi:10.1002/9781118512074.ch36

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…Dysphagia was classified into mechanical and non-mechanical dysphagia, and patients were screened for the various causes of mechanical and non-mechanical dysphagia. [ 19 ] Los Angeles classification was used for grading of esophagitis,[ 20 ] and Hill’s grading was used to grade hiatus hernia. [ 21 ] HPE reports were collected in all patients undergoing biopsy of lesion.…”

Section: Methodsmentioning

confidence: 99%

Etiological and clinical profiles of patients with dysphagia: A teaching institution experience

Goyal,

Jitender,

Garg

et al. 2024

Journal of Family Medicine and Primary Care

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Background: Dysphagia can involve any structure from the mouth to the lower esophageal sphincter. The etiologies vary from benign causes to malignant lesions. There is dearth of data regarding dysphagia in our population. Methods: A total of 208 patients with complaints of dysphagia were screened for the study. After ruling out neurological/local oropharyngeal causes of dysphagia, 200 patients with suspected esophageal dysphagia (ED) were recruited in the study. Dysphagia was graded as per the dysphagia scoring system. All patients underwent upper gastro-intestinal endoscopy and were evaluated for the presence of mechanical and non-mechanical causes of ED. Results: The mean age of patients with dysphagia was 53.8 ± 15.4 years. with males and females being 82 and 118, respectively. The mean duration of the symptom was 7.2 ± 10.6 months (median 3 months). Ninety-eight patients (49%) having dysphagia were in the age group of 56–65 years. The dysphagia score was 0 among 58, and 4 among 26 subjects. Foreign body sensation was the most frequent chief complaint in 90 (45%) patients. Ninety-six (48%) and 104 (52%) patients had mechanical and non-mechanical causes of dysphagia, respectively. Among mechanical causes of dysphagia, 68 patients (70.8%) had esophageal growth and 28 (29.2%) had esophageal stricture. Sixty-seven patients had squamous cell carcinoma. Among non-mechanical causes, 50 (48.1%) had globus sensation, 24 (23.1%) had hiatus hernia, and 16 (15.4%) functional dysphagia. Conclusion: Dysphagia is a common problem with varied etiologies. The esophageal growth and globus sensation are among the predominant causes of ED. We stress that all patients of dysphagia must be meticulously investigated.

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Section: Methodsmentioning

confidence: 99%

Etiological and clinical profiles of patients with dysphagia: A teaching institution experience

Goyal,

Jitender,

Garg

et al. 2024

Journal of Family Medicine and Primary Care

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“…When cattle are presented for abnormal food contents in their mouth/nostrils, the first diagnostic step is to differentiate between dysphagia, vomiting and abnormal regurgitation. By definition, dysphagia is a mechanical or neurological difficulty passing food boluses from the mouth to the oesophagus 12 . Vomiting is an active process, rarely reported in cattle where forestomach contents are ejected after a short period of restlessness 13,14 .…”

Section: Differential Diagnosismentioning

confidence: 99%

An oesophageal fistula associated with cervical osteomyelitis in a 17‐month‐old Holstein heifer

Guarnieri

Berman

Babkine

2021

Vet Record Case Reports

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A 17‐month‐old Holstein heifer was presented to the Centre Hospitalier Universitaire Vétérinaire in Saint‐Hyacinthe (QC, Canada) for abnormal regurgitation. Upon admission, pain was elicited upon mobilisation of the neck and a left‐sided, painless, fluctuating subcutaneous mass was detected in the area of the fifth and sixth cervical vertebrae. An oesophageal fistula with osteomyelitis of the corresponding vertebrae was diagnosed by medical imaging (endoscopy, ultrasound and radiography) and treated medically. No sequelae were reported in the long term. Considering the low prevalence of abnormal regurgitation in cattle, this paper provides the practitioner with an example of a diagnostic approach.

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Painful Swallowing

Sanvanson¹

2017

Gastrointestinal Motility Disorders

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Approach to the Patient with Dysphagia, Odynophagia, or Noncardiac Chest Pain

Cited by 3 publications

References 29 publications

Etiological and clinical profiles of patients with dysphagia: A teaching institution experience

Etiological and clinical profiles of patients with dysphagia: A teaching institution experience

An oesophageal fistula associated with cervical osteomyelitis in a 17‐month‐old Holstein heifer

Painful Swallowing

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