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Approach to the Patient with Dysphagia

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Presentation on theme: "Approach to the Patient with Dysphagia"— Presentation transcript:

1 Approach to the Patient with Dysphagia
Ala' A. Abdel Jalil, MD, David A. Katzka, MD, Donald O. Castell, MD  The American Journal of Medicine  Volume 128, Issue 10, Pages 1138.e e23 (October 2015) DOI: /j.amjmed Copyright © 2015 Elsevier Inc. Terms and Conditions

2 Figure 1 Symptom differential of common causes of esophageal dysphagia. Overlap exists among the features. Persistent dysphagia represents more severe disease that requires earlier medical attention. EoE = eosinophilic esophagitis; IEM = ineffective esophageal motility. The American Journal of Medicine  , 1138.e e23DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

3 Figure 2 Disorders causing oropharyngeal dysphagia. Several disorders may manifest with more than 1 cause of dysphagia, such as head and neck surgery or radiation injury. Zenker's diverticulum arises from dysmotility but then gives rise to further dysphagia by esophageal compression. CNS = central nervous system. The American Journal of Medicine  , 1138.e e23DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

4 Figure 3 Barium esophagram of (A) mid-esophageal stricture (arrow) and (B) advanced Achalasia (characterized by dilation and sigmoidization of esophagus with arrow pointing to classic bird's beak sign). The American Journal of Medicine  , 1138.e e23DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

5 Figure 4 Normal high-resolution impedance manometry. LES = lower esophageal sphincter; UES = upper esophageal sphincter. The American Journal of Medicine  , 1138.e e23DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions


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