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[Cricopharyngeal bar and Dysphagia].
Laryngorhinootologie. 2013 Apr; 92(4):230-3.L

Abstract

BACKGROUND

The term Cricopharyngeal Bar (CPB) describes a posterior indentation at the pharyngoesophageal junction which becomes apparent during a Video Fluoroscopic Swallowing Exam (VFSE, modified barium swallow). The eff ect CPBs might have on swallowing is still under debate. This paper intends to review appearance, eff ects and the associated therapy of CPBs.

METHOD

For this systematic review a selective literature research in PubMed has been carried out.

RESULTS

CPBs are usually diagnosed during VFSE. As VFSEs are mostly carried out in dysphagic patients, CBPs were also associated with dysphagia. Even though, CPBs are often related to dysphagia, they do also appear in patients without dysphagia. Therefore, the appearance of a CBP does not automatically represent the cause of dysphagic symptoms. Its impact on swallowing might, however, depend on the dimension of the protrusion as well as the weakening and dysfunction of the inferior pharyngeal constrictor muscle.

DISCUSSION

CBPs often present as an incidental finding during a modified barium swallow. A relation to dysphagia can only be assumed for severe CPBs. Therapy options include cricopharyngeal myotomy or esophago-gastro endoscopy using either bougies or balloons.

Authors+Show Affiliations

Klinik für Phoniatrie und Pädaudiologie, Medizinische Hochschule Hannover, Hannover, Germany. k uehn.daniela@mh-hannover.deNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review
Systematic Review

Language

ger

PubMed ID

23250788

Citation

Kühn, D, et al. "[Cricopharyngeal Bar and Dysphagia]." Laryngo- Rhino- Otologie, vol. 92, no. 4, 2013, pp. 230-3.
Kühn D, Miller S, Ptok M. [Cricopharyngeal bar and Dysphagia]. Laryngorhinootologie. 2013;92(4):230-3.
Kühn, D., Miller, S., & Ptok, M. (2013). [Cricopharyngeal bar and Dysphagia]. Laryngo- Rhino- Otologie, 92(4), 230-3. https://doi.org/10.1055/s-0032-1330030
Kühn D, Miller S, Ptok M. [Cricopharyngeal Bar and Dysphagia]. Laryngorhinootologie. 2013;92(4):230-3. PubMed PMID: 23250788.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Cricopharyngeal bar and Dysphagia]. AU - Kühn,D, AU - Miller,S, AU - Ptok,M, Y1 - 2012/12/18/ PY - 2012/12/20/entrez PY - 2012/12/20/pubmed PY - 2013/11/5/medline SP - 230 EP - 3 JF - Laryngo- rhino- otologie JO - Laryngorhinootologie VL - 92 IS - 4 N2 - BACKGROUND: The term Cricopharyngeal Bar (CPB) describes a posterior indentation at the pharyngoesophageal junction which becomes apparent during a Video Fluoroscopic Swallowing Exam (VFSE, modified barium swallow). The eff ect CPBs might have on swallowing is still under debate. This paper intends to review appearance, eff ects and the associated therapy of CPBs. METHOD: For this systematic review a selective literature research in PubMed has been carried out. RESULTS: CPBs are usually diagnosed during VFSE. As VFSEs are mostly carried out in dysphagic patients, CBPs were also associated with dysphagia. Even though, CPBs are often related to dysphagia, they do also appear in patients without dysphagia. Therefore, the appearance of a CBP does not automatically represent the cause of dysphagic symptoms. Its impact on swallowing might, however, depend on the dimension of the protrusion as well as the weakening and dysfunction of the inferior pharyngeal constrictor muscle. DISCUSSION: CBPs often present as an incidental finding during a modified barium swallow. A relation to dysphagia can only be assumed for severe CPBs. Therapy options include cricopharyngeal myotomy or esophago-gastro endoscopy using either bougies or balloons. SN - 1438-8685 UR - https://www.unboundmedicine.com/medline/citation/23250788/[Cricopharyngeal_bar_and_Dysphagia]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0032-1330030 DB - PRIME DP - Unbound Medicine ER -