dysphagia presentation 2014
TRANSCRIPT
Causes of Dysphagia
Preoesophageal
Oesophageal
Preoesophageal
Oral Phase Pharyngeal Phase
Disturbance in Mastication Disturbance in lubrication Disturbance in mobility of
tongue Defects of palate Lesion of buccal cavity and
floor of mouth
Obstructive lesions of pharynx Inflammatory conditions Spasmodic conditions Paralytic conditions
Oesophageal
Lumen Wall Outside the wall
Atresia
Foreign body
Strictures
Benign or Malignant tumours
Hypomotility disorders
Achalasia Scleroderma Amytrophic
lateral sclerosis
Hypermotility Disorders
Cricopharyngeal spasm
Diffuse oesophageal spasm
Hypopharyngeal diverticulum
Hiatus hernia
Cervical osteophytes
Thyroid lesions
Mediastinal lesions
Vascular rings
HistoryClinical ExaminationBlood ExaminationRadiographyManometric and pH studiesOesophagoscopyOther investigations
Hisory
Clinical Examination
Blood Examination
Haemogram is important in diagnosis and treatment of Plummer – Vinson syndrome and to know the nutritional status of the patient.
Radiography X-ray chest : To exclude cardiovascular, pulmonary
and mediastinal diseases
Lateral View Neck: To exclude cervical osteophytes and any soft tissue lesions of postcricoid or retropharyngeal space.
Barium Swallow: For diagnosis of malignancy, cardiac achalasia, strictures, diverticula, hiatus hernia or oropharyngeal spasms.
A pressure transducer along with ph electrode and an open tipped catheter is introduced into the oesophagus to measure the pressues in the oesophagus and its sphicters.These studies help in motility disorders, gastro oesophageal reflux and to find if oesophageal spasms are spontaneous or acid induced
Manometric and pH studies
Oesophagoscopy
Oesophageal Squamous Cell Carcinoma
Thank You