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Approach to Dysphagia

Yıl 2025, Cilt: 20 Sayı: 2, 155 - 160, 21.07.2025
https://izlik.org/JA74UD27HX

Öz

Dysphagia is a symptom. Patients' complaints range from an inability to initiate swallowing to a feeling that solids or liquids are blocked from passing through the esophagus into the stomach. It is important to evaluate and diagnose patients with dysphagia. In this study, the pathogenesis, diagnosis, and evaluation of patients with dysphagia are discussed separately.

Kaynakça

  • Hemant K, Satpathy MD. Dysphagia: Evaluation and treatment. Gastroenterol Clin North Am. 2003;32(2):553-75.
  • Shamburek RD, Farrar JT. Disorders of the digestive system in the elderly. N Engl J Med. 1990;322(7):438-43.
  • Tawil J, Fass R. Globus: Current Concepts and Dilemmas. J Clin Gastroenterol. 2018; 52(10):845-52.
  • Wilcox CM, Alexander LN, Clark WS. Localization of an obstructing esophageal lesion. Is the patient accurate? Dig Dis Sci. 1995;40(10):2192-6.
  • Gasiorowska A, Fass R. Current approach to dysphagia. Gastroenterol Hepatol. 2009; 5(4):269-79.
  • Marks RD, Richter JE. Peptic strictures of the esophagus. Am J Gastroenterol. 1993; 88(8):1160-73.
  • Pasha SF, Acosta RD, Chandrasekhara V, et al. The role of endoscopy in the evaluation and management of dysphagia. Gastrointest Endosc. 2014;79(2):191-201.
  • Varadarajulu S, Eloubeidi MA, Patel RS, et al. The yield and the predictors of esophageal pathology when upper endoscopy is used for the initial evaluation of dysphagia. Gastrointest Endosc. 2005;61(7):804-8.
  • Kelly AM, Drinnan MJ, Leslie P. Assessing penetration and aspiration: how do videofluoroscopy and fiberoptic endoscopic evaluation of swallowing compare? Laryngoscope. 2007;117(10):1723-7.
  • Kelly AM, Leslie P, Beale T, et al. Fibreoptic endoscopic evaluation of swallowing and videofluoroscopy: does examination type influence perception of pharyngeal residue severity? Clin Otolaryngol. 2006;31(5):425-32.
  • Giraldo-Cadavid LF, Leal-Leaño LR, Leon-Basantes GA, et al. Accuracy of endoscopic and videofluoroscopic evaluations of swallowing for oropharyngeal dysphagia. Laryngoscope. 2017;127(9):2002-10.
  • Pandolfino JE, Kahrilas PJ, American Gastroenterological Association. AGA technical review on the clinical use of esophageal manometry. Gastroenterology. 2005;128(1):209-24.
  • Ghosh SK, Pandolfino JE, Zhang Q, et al. Deglutitive upper esophageal sphincter relaxation: a study of 75 volunteer subjects using solid-state high-resolution manometry. Am J Physiol Gastrointest Liver Physiol. 2006;291(3):G525-31.
  • Omari TI, Ciucci M, Gozdzikowska K, et al. High-Resolution Pharyngeal Manometry and Impedance: Protocols and Metrics-Recommendations of a High-Resolution Pharyngeal Manometry International Working Group. Dysphagia. 2020;35(2):281-95.
  • El-Serag HB, Sonnenberg A. Association of esophagitis and esophageal strictures with diseases treated with nonsteroidal anti-inflammatory drugs. Am J Gastroenterol. 1997;92(1):52-6.
  • Dhir V, Vege SS, Mohandas KM, Desai DC. Dilation of proximal esophageal strictures following therapy for head and neck cancer: experience with Savary Gilliard dilators. J Surg Oncol. 1996;63(3):187-90.
  • Bennett JR, Castell DO. Overview and symptom assessment. In: The Esophagus, Castell DO, Richter JE (Eds), Lippincott, Williams & Wilkins, Philadelphia 1999. p.33.
  • Haque S, Genta RM. Lymphocytic oesophagitis: clinicopathological aspects of an emerging condition. Gut. 2012;61(8):1108-14.
  • Palma R, Freire A, Freitas J, et al. Esophageal motility disorders in patients with Sjögren's syndrome. Dig Dis Sci. 1994;39(4):758-61.
  • Malagelada JR, Bazzoli F, Boeckxstaens G, et al. World gastroenterology organisation global guidelines: dysphagia--global guidelines and cascades update September 2014. J Clin Gastroenterol. 2015;49(5):370-8.
  • Clavé P, de Kraa M, Arreola V, et al. The effect of bolus viscosity on swallowing function in neurogenic dysphagia. Aliment Pharmacol Ther. 2006;24(9):1385-94.
  • Rofes L, Arreola V, Mukherjee R, Swanson J, Clavé P. The effects of a xanthan gum-based thickener on the swallowing function of patients with dysphagia. Aliment Pharmacol Ther. 2014;39(10):1169-79.
  • Kuhn MA, Belafsky PC. Management of cricopharyngeus muscle dysfunction. Otolaryngol Clin North Am. 2013;46(6):1087-99.
  • American Gastroenterological Association medical position statement on management of oropharyngeal dysphagia. Gastroenterology. 1999;116(2):452-4.

Disfajiye Yaklaşım

Yıl 2025, Cilt: 20 Sayı: 2, 155 - 160, 21.07.2025
https://izlik.org/JA74UD27HX

Öz

Disfaji bir semptomdur. Hastaların şikayetleri, yutma işlemini başlatamamaktan, katı veya sıvıların yemek borusundan mideye geçişleri sırasında engellendiği hissine kadar değişir. Disfajili hastaların değerlendirilmesi ve tanı konulması önem arz etmektedir. Bu araştırmada, disfajili hastaların patogenezi, tanısı ve değerlendirmesi ayrı ayrı tartışılmaktadır.

Kaynakça

  • Hemant K, Satpathy MD. Dysphagia: Evaluation and treatment. Gastroenterol Clin North Am. 2003;32(2):553-75.
  • Shamburek RD, Farrar JT. Disorders of the digestive system in the elderly. N Engl J Med. 1990;322(7):438-43.
  • Tawil J, Fass R. Globus: Current Concepts and Dilemmas. J Clin Gastroenterol. 2018; 52(10):845-52.
  • Wilcox CM, Alexander LN, Clark WS. Localization of an obstructing esophageal lesion. Is the patient accurate? Dig Dis Sci. 1995;40(10):2192-6.
  • Gasiorowska A, Fass R. Current approach to dysphagia. Gastroenterol Hepatol. 2009; 5(4):269-79.
  • Marks RD, Richter JE. Peptic strictures of the esophagus. Am J Gastroenterol. 1993; 88(8):1160-73.
  • Pasha SF, Acosta RD, Chandrasekhara V, et al. The role of endoscopy in the evaluation and management of dysphagia. Gastrointest Endosc. 2014;79(2):191-201.
  • Varadarajulu S, Eloubeidi MA, Patel RS, et al. The yield and the predictors of esophageal pathology when upper endoscopy is used for the initial evaluation of dysphagia. Gastrointest Endosc. 2005;61(7):804-8.
  • Kelly AM, Drinnan MJ, Leslie P. Assessing penetration and aspiration: how do videofluoroscopy and fiberoptic endoscopic evaluation of swallowing compare? Laryngoscope. 2007;117(10):1723-7.
  • Kelly AM, Leslie P, Beale T, et al. Fibreoptic endoscopic evaluation of swallowing and videofluoroscopy: does examination type influence perception of pharyngeal residue severity? Clin Otolaryngol. 2006;31(5):425-32.
  • Giraldo-Cadavid LF, Leal-Leaño LR, Leon-Basantes GA, et al. Accuracy of endoscopic and videofluoroscopic evaluations of swallowing for oropharyngeal dysphagia. Laryngoscope. 2017;127(9):2002-10.
  • Pandolfino JE, Kahrilas PJ, American Gastroenterological Association. AGA technical review on the clinical use of esophageal manometry. Gastroenterology. 2005;128(1):209-24.
  • Ghosh SK, Pandolfino JE, Zhang Q, et al. Deglutitive upper esophageal sphincter relaxation: a study of 75 volunteer subjects using solid-state high-resolution manometry. Am J Physiol Gastrointest Liver Physiol. 2006;291(3):G525-31.
  • Omari TI, Ciucci M, Gozdzikowska K, et al. High-Resolution Pharyngeal Manometry and Impedance: Protocols and Metrics-Recommendations of a High-Resolution Pharyngeal Manometry International Working Group. Dysphagia. 2020;35(2):281-95.
  • El-Serag HB, Sonnenberg A. Association of esophagitis and esophageal strictures with diseases treated with nonsteroidal anti-inflammatory drugs. Am J Gastroenterol. 1997;92(1):52-6.
  • Dhir V, Vege SS, Mohandas KM, Desai DC. Dilation of proximal esophageal strictures following therapy for head and neck cancer: experience with Savary Gilliard dilators. J Surg Oncol. 1996;63(3):187-90.
  • Bennett JR, Castell DO. Overview and symptom assessment. In: The Esophagus, Castell DO, Richter JE (Eds), Lippincott, Williams & Wilkins, Philadelphia 1999. p.33.
  • Haque S, Genta RM. Lymphocytic oesophagitis: clinicopathological aspects of an emerging condition. Gut. 2012;61(8):1108-14.
  • Palma R, Freire A, Freitas J, et al. Esophageal motility disorders in patients with Sjögren's syndrome. Dig Dis Sci. 1994;39(4):758-61.
  • Malagelada JR, Bazzoli F, Boeckxstaens G, et al. World gastroenterology organisation global guidelines: dysphagia--global guidelines and cascades update September 2014. J Clin Gastroenterol. 2015;49(5):370-8.
  • Clavé P, de Kraa M, Arreola V, et al. The effect of bolus viscosity on swallowing function in neurogenic dysphagia. Aliment Pharmacol Ther. 2006;24(9):1385-94.
  • Rofes L, Arreola V, Mukherjee R, Swanson J, Clavé P. The effects of a xanthan gum-based thickener on the swallowing function of patients with dysphagia. Aliment Pharmacol Ther. 2014;39(10):1169-79.
  • Kuhn MA, Belafsky PC. Management of cricopharyngeus muscle dysfunction. Otolaryngol Clin North Am. 2013;46(6):1087-99.
  • American Gastroenterological Association medical position statement on management of oropharyngeal dysphagia. Gastroenterology. 1999;116(2):452-4.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Saime Güzelsoy Sağıroğlu 0000-0003-2608-7274

Gönderilme Tarihi 16 Temmuz 2024
Kabul Tarihi 17 Eylül 2024
Erken Görünüm Tarihi 21 Temmuz 2025
Yayımlanma Tarihi 21 Temmuz 2025
IZ https://izlik.org/JA74UD27HX
Yayımlandığı Sayı Yıl 2025 Cilt: 20 Sayı: 2

Kaynak Göster

AMA 1.Güzelsoy Sağıroğlu S. Approach to Dysphagia. KSÜ Tıp Fak Der. 2025;20(2):155-160. https://izlik.org/JA74UD27HX