Globus pharyngeus

Batch, A. J. G.

doi:10.1017/s0022215100104384

Cited by 90 publications

(18 citation statements)

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“…Ever since Batch 3 reported a post‐cricoid malignancy presenting with isolated globus sensation, this has been seen to be a strong argument for full assessment of all cases of globus. The main reason to investigate this group of patients is to exclude serious underlying pathology and reassure the patient.…”

Section: Discussionmentioning

confidence: 99%

Globus sensation as early presentation of hypopharyngeal cancer

Tsikoudas

Ghuman

Riad

2007

Clinical Otolaryngology

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Section: Discussionmentioning

confidence: 99%

Globus sensation as early presentation of hypopharyngeal cancer

Tsikoudas

Ghuman

Riad

2007

Clinical Otolaryngology

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“…It is recognized that a distal oesophageal lesion may refer symptoms of dysphagia back to the neck 4–6,11 . There are potentially a number of causes of this referral of symptoms proximally.…”

Section: Discussionmentioning

confidence: 99%

“…Patients are often unreliable in localizing their symptoms of swallowing difficulty 3 . It is established that a distal lesion may result in proximal symptoms 4–6 . The converse relationship of a proximal lesion producing distal symptoms has not been previously investigated; this was the aim of the present study.…”

Section: Introductionmentioning

confidence: 92%

Value of pharyngography in patients without suprasternal symptoms

Low

Sitarik

2000

Australasian Radiology

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The purpose of the present paper was to determine if pharyngeal or cervical oesophageal lesions may present with distal symptoms. All patients presenting for barium swallow underwent examination of the pharynx and oesophagus. The pharyngeal examination included spot films of the pharynx as well as views of the pharyngo-oesophageal segment filmed at three frames per second. During the 18-month period of the present study interrogations were carried out to identify patients without symptoms in the cervical or suprasternal region. One hundred and twelve patients were identified; 58 were male and 54 were female. The age range was 18-84 years. Examinations revealed abnormalities within the pharynx in 42 patients (38%); of this group of 42, 34 also had an oesophageal abnormality. The majority of the pharyngeal findings were minor. There were, however, three patients who each had a pharyngeal abnormality (pharyngeal carcinoma, obstructive cricopharyngeal narrowing, pharyngo-oesophageal junction stricture) as well as an oesophageal lesion (hiatal hernia, achalasia, reflux oesophagitis), either of which may have been the source of the symptoms. The remaining eight patients (7%) of this group of 42 with detected pharyngeal abnormality had normal oesophageal examinations. Most of these were again minor changes and were unlikely to be significant. There was, however, one patient in whom the only abnormality was an infiltrative cancer of the posterior wall of the pharyngo-oesophageal junction. In conclusion, the identification of patients in the present study with pharyngeal lesions and without distal abnormal findings indicates that a proximal lesion may present with downstream symptoms. Furthermore, there were also patients in whom the examination found abnormalities in multiple segments of the pharynx and oesophagus. We suggest that examination of the pharynx is warranted as part of the barium swallow in patients without cervical or suprasternal symptoms.

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“…Exclusion criteria (8) Patients with malignancies of oropharynx, oral cavity, esophagus and stomach.…”

Section: Inclusion Criteria (7)mentioning

confidence: 99%

Globus hystericus - lump in throat for patient and challenge for doctor

2016

IJN

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Lump in throat sensation expressed by patients is real and needs a thorough investigations of upper aero digestive tract. Larygopharyngeal reflux was found to be most common cause followed by emotional instability (female) & chronic granular pharyngitis. Others being sinusitis (post nasal discharge) cervical osteophytes, hypothyroidism, lingual tonsil, Larygopharygeal malignancy etc. Globus sensation can be an early sign of a malignant lesion. Hence investigations like video laryngoscopy, direct laryngoscopy, barium swallow, and esophagoscopy should be done in all patients. Psychotropic drugs have an important role in the management of these patients especially, where no organic lesions were found. Globus pharyngeus is a term which denotes a symptom rather than a diagnosis. Treatment with PPI, antidepressant / anxiolytics, saline gargles and avoidance of cold water and food items, in patients with no definite cause was found to be very effective. This combination of can be taken as an initial line of treatment until detailed evaluation and investigation results are not obtained

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Globus pharyngeus

Cited by 90 publications

References 0 publications

Globus sensation as early presentation of hypopharyngeal cancer

Globus sensation as early presentation of hypopharyngeal cancer

Value of pharyngography in patients without suprasternal symptoms

Globus hystericus - lump in throat for patient and challenge for doctor

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