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1,176 results
  • [Dysphagia from a gastroenterologist's perspective]. [Journal Article]
  • DMDtsch Med Wochenschr 2018; 143(9):660-671
  • Hollenbach M, Feisthammel J, … Hoffmeister A
  • Swallowing disorders (dysphagia) comprise a common cause of medical consultation and are defined as a subjective sensation of difficulty or abnormality of swallowing. In the initial step, a clear dif...
  • Oesophageal causes of dysphagia localised only to the pharynx: Implications for the suspected head and neck cancer pathway. [Journal Article]
  • COClin Otolaryngol 2018 Apr 10
  • Nouraei SAR, Murray IA, … Dalton HR
  • CONCLUSIONS: Pharynx-localised dysphagia is more likely to be a referred symptom of structural oesophageal disease, including cancer, than a primary symptom of structural pharyngeal disease. Absence of additional alarm symptoms such as a short history, weight-loss, and odynophagia, do not adequately exclude the possibility of oesophageal cancer. When the differential diagnosis of PLD includes malignancy, cancer should be presumed to be arising from the oesophagus or the cardio-oesophageal region until proven otherwise. This requires direct visualisation of the mucosal surfaces of the oesophagus and the cardio-oesophageal region, using either transoral or transnasal flexible endoscopy, irrespective of whether the initial assessment occurs within head and neck or upper gastrointestinal suspected cancer pathways.
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