Functional Endoscopy in Neurogenic Dysphagia

Rückert, Jan O.; Lenz, Philipp; Heinzow, Hauke; Lenze, Frank; Suttrup, Inga; Dziewas, Rainer; Warnecke, Tobias; Weßling, Johannes; Herrmann, I. F.; Domagk, Dirk

doi:10.1055/s-0038-1637170

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“…In some population-based studies, the rates of prevalence of dysphagia have been reported to be 17-25% with a peak in symptoms at the age of 40-49 years for both gender [ 17 , 18 ]. More commonly, it is seen in old age patients and in those who were hospitalized [ 19 ]. The modality of choice for making a diagnosis of dysphagia is upper gastrointestinal endoscopy and has a good safety profile too [ 20 , 21 ].…”

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confidence: 99%

Endoscopic Findings and Their Association With Gender, Age and Duration of Symptoms in Patients With Dysphagia

Rashid

Bakht

Arslan³

et al. 2020

Cureus

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Introduction Dysphagia is highly prevalent in patients with a history of recurrent acid peptic disease. Endoscopy is the mainstay of diagnostic workup of these patients to reach underlying cause and appropriate subsequent treatment. The objective of the study was to determine the frequency of various types of endoscopic findings in patients with dysphagia and the association of these findings with gender, age and duration of symptoms. Methods This cross-sectional study was carried out in the Department of Gastroenterology of a tertiary care hospital in Rawalpindi, Pakistan. A total of 137 patients who presented with a history of dysphagia for at least two weeks were enrolled in the study. Duration of symptoms was noted, and all patients underwent upper gastrointestinal endoscopy to find out the cause of dysphagia. Tissue biopsies were obtained, and further histopathological examination was performed to correlate the findings with symptoms of dysphagia. Results A total of 137 patients were enrolled for six months. The mean age of the patients was 56.9 ± 17.44 years, and the mean duration of symptoms was 15.96 ± 12.31 weeks. There were 65 (47.4%) males and 72 (52.6%) females in the study. Majority of them, 123 (89.8%), presented with a short duration of symptoms that varied between 2-24 weeks and were mainly middle-aged (31-60 years) and old-aged (61-80 years). The most commonly observed endoscopic findings were esophageal stricture in 25 (18.2%), achalasia cardia in 20 (14.6%), esophageal mass in 12 (8.8%) and reflux esophagitis in 7 (5%) patients. No association was seen between age, gender and duration of symptoms and findings on the endoscopy. Conclusion Dysphagia is associated with many endoscopic findings that are not related to demographic variables and must be evaluated earlier to reduce further morbidity and mortality.

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