How I Approach Dysphagia

  title={How I Approach Dysphagia},
  author={Jooho P. Kim and Peter J. Kahrilas},
  journal={Current Gastroenterology Reports},
This review presents an overview of the diagnostic approach to esophageal dysphagia and summarizes recent epidemiological trends and technical advancements. The evaluation of dysphagia begins with a detailed history followed by endoscopy to evaluate for any structural abnormalities including malignancy. This is especially true given the emergence of eosinophilic esophagitis (EoE) as a dominant cause of esophageal dysphagia. In fact, it is now standard practice to obtain esophageal biopsies… 

Esophageal Motility Disorders in the Natural History of Acid-Dependent Causes of Dysphagia and Their Influence on Patients’ Quality of Life—A Prospective Cohort Study

The esophageal motility disorders co-occurring with endoscopic and histological anomalies do not significantly affect the severity of dysphagia, however, in the case of patients with ERD and SR and concomitant UES insufficiency, this motor dysfunction has a significant impact on the reduction in the patients’ quality of life.

A Comparative Assessment of the Diagnosis of Swallowing Impairment and Gastroesophageal Reflux in Canines and Humans

The comparative aspects of esophageal anatomy and physiology between humans and canines are reviewed, the diagnostic assessment of swallowing impairment in both species is summarized, and future considerations for collaborative medicine and translational research are discussed.

Diagnosis in Muscle Tension Dysphagia.

The results showed that patients with MTDg were characterised by correct results of FEES examination, prolonged swallowing, features of inappropriate mucous and oropharyngeal muscle function, and the Swallowing Disorder Scale (SDS), developed by the authors, correlated best with the cause of dysphagia.

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

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.

High-Resolution Esophageal Manometry in the Inpatient Setting: A Tertiary Referral Center Experience

The inpatient HRM group had unique characteristics and few subsequent interventions, and tolerance of oral diet and diabetes were associated with a lower likelihood of additional intervention.

Protocolo diagnóstico de la disfagia

Der Hals – erste Kontaktaufnahme zu einer Durchgangsstation

Der Hals ist eine Durchgangsstation zwischen Kopf, Rumpf und Extremitäten. Beschwerden in der Halsregion können komplex sein und Fachgebietsgrenzen überschreiten. In diesem Artikel wird eine

Endoluminal Functional Lumen Imaging Probe Is Safe in Children Under Five Years Old

EndoFLIP appears to be safe for use in a small cohort of children < 5 years of age and may be an important tool in the management of esophageal disorders in this age group.

The Stanford Multidisciplinary Swallowing Disorders Center.




Advances in Management of Esophageal Motility Disorders

Temporal trends in the relative prevalence of dysphagia etiologies from 1999-2009.

While total EGD volume did increase over the 10-year time period, the percentage of EGDs for the indication of dysphagia remained stable making increasing upper endoscopy an unlikely reason for the observed increased prevalence of EoE.

Endoscopic Findings in Patients Presenting with Dysphagia: Analysis of a National Endoscopy Database

The prevalence of endoscopic findings differs significantly by gender, age, and repeat procedure, and the most common findings in descending order were stricture, normal, EU, SR, EFI, and suspected malignancy.

Esophageal distensibility as a measure of disease severity in patients with eosinophilic esophagitis.

  • F. NicodèmeI. Hirano J. Pandolfino
  • Medicine
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
  • 2013

Severity of endoscopically identified esophageal rings correlates with reduced esophageal distensibility in eosinophilic esophagitis.

Endoscopic inflammatory features show a weak correlation with histopathology but should not replace histologic indices of inflammation and may be useful for food impaction risk stratification in EoE.

Epidemiology and Natural History of Eosinophilic Esophagitis.

The data and potential reasons behind this increase, risk factors, and important areas for research into disease etiology are reviewed, as well as the progression of EoE from an inflammatory to fibrostenotic phenotype.

Mechanical properties of the esophagus in eosinophilic esophagitis.

Esophageal distensibility, defined by the change in the narrowest measurable CSA within the distal esophagus vs intraluminal pressure was significantly reduced in EoE patients compared with controls.

Efficacy of treatment for patients with achalasia depends on the distensibility of the esophagogastric junction.

Assessment of EGJ distensibility by EndoFLIP is a better parameter than LES pressure for evaluating efficacy of treatment for patients with achalasia and, in contrast to LESpressure, is associated with esophageal emptying and clinical response.

Functional Lumen Imaging Probe for the Management of Esophageal Disorders: Expert Review From the Clinical Practice Updates Committee of the AGA Institute