75,163 results match your criteria Dysphagia


Two Concomitant and Exceedingly Rare Causes of Oropharyngeal Dysphagia.

JAMA Otolaryngol Head Neck Surg 2022 May 26. Epub 2022 May 26.

Department of Otorhinolaryngology, Careggi University Hospital, Largo Brambilla, Florence, Italy.

View Article and Full-Text PDF

Longitudinal dysphagia assessment in adult patients with nephropathic cystinosis using the Modified Barium Swallow Impairment Profile.

Muscle Nerve 2022 May 26. Epub 2022 May 26.

Department of Neurology, Massachusetts General Hospital, 55 Fruit St, Boston, MA.

Introduction/aims: Nephropathic cystinosis is a lysosomal storage disorder with known myopathic features, including dysphagia. Evaluation of oropharyngeal swallowing physiology can be standardized using the Modified Barium Swallow Impairment Profile (MBSImP), a validated assessment tool used to analyze and rate swallowing across 17 distinct physiologic domains. Our objective was to better characterize swallowing impairments in nephropathic cystinosis using MBSImP analysis. Read More

View Article and Full-Text PDF

[Retropharyngeal lymph node dissection in head and neck cancers treated with transoral robotic surgery].

Zhonghua Zhong Liu Za Zhi 2022 May;44(5):446-449

Department of Head and Neck Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.

To evaluate the indications, safety, feasibility, and surgical technique for patients with head and neck cancers undergoing transoral robotic retropharyngeal lymph node (RPLN) dissection. The current study enrolled 12 consecutive head and neck cancer patients (seven males and four females) who underwent transoral robotic RPLN dissection with the da Vinci surgical robotic system at the Sun Yat-sen University Cancer Center from May 2019 to July 2020. Seven patients were diagnosed as nasopharyngeal carcinoma with RPLN metastasis after initial treatments, 4 patients were diagnosed as thyroid carcinoma with RPLN metastasis after initial treatments, and one patient was diagnosed as oropharyngeal carcinoma with RPLN metastasis before initial treatments. Read More

View Article and Full-Text PDF

Early-onset aggressive oesophageal carcinoma in Down's syndrome - a coincidence or a game of extra genes?

J Pak Med Assoc 2022 Apr;72(4):764-766

Department of General Surgery, Dow University of Heath Sciences, Dr. K.M Ruth Pfau Civil Hospital, Karachi, Pakistan.

Patients with Down's syndrome exhibit a unique pattern for a number of malignant conditions but there is inconsistent data for the risk of oesophageal cancer. We present a case of early-onset aggressive oesophageal carcinoma in a young male patient diagnosed with Trisomy 21, who presented with complaints of progressive dysphagia, vomiting, voice change and weight loss. Barium swallow showed shouldering sign at distal oesophagus. Read More

View Article and Full-Text PDF

Women's awareness of ovarian cancer risk factors and symptoms in Western Iran in 2020-2021.

BMC Womens Health 2022 May 25;22(1):192. Epub 2022 May 25.

Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objectives: This study aimed to investigate awareness of women living in the western region of Iran about warning signs and risk factors for ovarian cancer.

Methods: This cross-sectional, descriptive-analytical study was conducted in Sanandaj and Kermanshah, Iran, 2020 and 2021. In this study, 1081 women aged 18-70 years were selected as the sample to fill out the electronic version of the Ovarian Cancer Awareness Measure (OCAM) to identify the significant variables of ovarian cancer warning signs and risk factors. Read More

View Article and Full-Text PDF

Allied Health Professionals' Views on the Use of 3D Food Printing to Improve the Mealtime Quality of Life for People With Dysphagia: Impact, Cost, Practicality, and Potential.

Am J Speech Lang Pathol 2022 May 25:1-10. Epub 2022 May 25.

Graduate School of Health, University of Technology Sydney, New South Wales, Australia.

Purpose: Much is promised in relation to the use of three-dimensional (3D) food printing to create visually appealing texture-modified foods for people with dysphagia, but little is known of its feasibility. This study aimed to explore the perspective of allied health professionals on the feasibility of using 3D food printing to improve quality of life for people with dysphagia.

Method: Fifteen allied health professionals engaged in one of four 2-hr online focus groups to discuss 3D food printing for people with dysphagia. Read More

View Article and Full-Text PDF

Calf circumference and stroke are independent predictors for an improvement in the food intake level scale in the Japanese sarcopenic dysphagia database.

Eur Geriatr Med 2022 May 25. Epub 2022 May 25.

Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.

Purpose: The purpose of this study was to use the food intake level scale (FILS) to clarify whether calf circumference (CC) and stroke contribute to an improvement of inpatient dysphagia.

Methods: We used the Japanese sarcopenic dysphagia database (n = 467) to analyze FILS data recorded at admission and after follow-up in 322 cases. A multivariate analysis was performed to determine whether CC and stroke improved the FILS by two points or more. Read More

View Article and Full-Text PDF

The quality of life in neoadjuvant versus adjuvant therapy of esophageal cancer treatment trial (QUINTETT): Randomized parallel clinical superiority trial.

Thorac Cancer 2022 May 24. Epub 2022 May 24.

Radiation Oncology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Background: We compared the health-related quality of life (HRQOL) in patients undergoing trimodality therapy for resectable stage I-III esophageal cancer.

Methods: A total of 96 patients were randomized to standard neoadjuvant cisplatin and 5-fluorouracil chemotherapy plus radiotherapy (neoadjuvant) followed by surgical resection or adjuvant cisplatin, 5-fluorouracil, and epirubicin chemotherapy with concurrent extended volume radiotherapy (adjuvant) following surgical resection.

Results: There was no significant difference in the functional assessment of cancer therapy-esophageal (FACT-E) total scores between arms at 1 year (p = 0. Read More

View Article and Full-Text PDF

Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion.

Cureus 2022 May 22;14(5):e25205. Epub 2022 May 22.

Gastroenterology, Hackensack University Medical Center, Hackensack, USA.

A 58-year-old male patient with a history of Parkinson's disease and solitary cervical spinal sarcoma underwent corpectomy, a fusion of C3-C6 with cervical fixation plate placement, and stereotactic body radiation therapy, presented 18 months following surgery with dysphagia, concomitant with weakness, diplopia. The initial workup in cervical magnetic resonance imaging (MRI) revealed aerodigestive tract soft tissue enhancement. Dysphagia progressed during hospitalization, and the patient was intubated due to aspiration pneumonia and respiratory failure. Read More

View Article and Full-Text PDF

Primary Esophageal Malignant Melanoma in Korea: Clinical features, Management and Prognosis.

Korean J Gastroenterol 2022 May;79(5):222-227

Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.

Primary esophageal melanoma is a rare disease with a poor prognosis. To date, 18 cases have been reported in Korea. Four patients visited the Chonnam National University Hwasun Hospital with dysphagia, followed by epigastric pain and discomfort, odynophagia, and weight loss. Read More

View Article and Full-Text PDF

Intensive care professionals' perspectives on dysphagia management: A focus group study.

Aust Crit Care 2022 May 21. Epub 2022 May 21.

Department of Intensive Care, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen O, Denmark. Electronic address:

Background: Intensive care unit (ICU)-acquired dysphagia has severe consequences for patients including increased morbidity and mortality. Standard operating procedures, however, including systematic evaluation of swallowing function and access to specialised assessment and training may be limited. Dysphagia management relies on multiprofessional collaboration, but practice is variable and nonstandardised. Read More

View Article and Full-Text PDF

Eosinophilic Oesophagitis: Significantly increasing prevalence in a tertiary London Paediatric Gastro-Intestinal and Allergy department.

Clin Res Hepatol Gastroenterol 2022 May 21:101958. Epub 2022 May 21.

St George's University Hospital NHS Foundation Trust.

Eosinophilic oesophagitis (EoE) is a characterised by the presence of intraepithelial eosinophils in oesophageal biopsies and symptoms of oesophageal dysfunction. This is a retrospective review of patients diagnosed with EoE between January 2010 to April 2021 within our Paediatric Gastro- Intestinal and Allergy department. 70 children were identified with a diagnosis of EoE, with mean age of diagnosis 8 years (range 0 - 17). Read More

View Article and Full-Text PDF

Submental Transcutaneous Electrical Stimulation Can Impact the Timing of Laryngeal Vestibule Closure.

J Oral Rehabil 2022 May 24. Epub 2022 May 24.

Swallowing Physiology & Rehabilitation Research Laboratory, Speech Pathology and Audiology Program, Kent State University, Kent, Ohio, USA.

Background: Laryngeal vestibule closure (LVC) is one of the critical airway protection mechanisms during swallowing. LVC timing impairments during swallowing are among the common causes of airway invasion in patients with dysphagia.

Objectives: To understand whether using submental transcutaneous electrical stimulation (TES) with varying pulse durations can impact the LVC reaction time (LVCrt) and LVC duration (LVCd) measures in healthy adults. Read More

View Article and Full-Text PDF

First Reported Case of Femoral Facial Syndrome in an Adult: Esophageal Adenocarcinoma as a Progressive Gastrointestinal Manifestation.

Cureus 2022 Apr 19;14(4):e24285. Epub 2022 Apr 19.

General Surgery, Lovelace Regional Hospital, Roswell, USA.

A 42-year-old female with a past medical history of femoral facial syndrome (FFS) and years of gastroesophageal reflux disease presented to our clinic with symptoms of dysphagia and iron deficiency anemia. On upper endoscopy, esophageal stricture and adenocarcinoma were detected. Unfortunately, the patient developed coronavirus disease 2019 (COVID-19) multi-organ failure prior to cancer treatment and died with dignity after choosing comfort care measures. Read More

View Article and Full-Text PDF

Acute Esophageal Necrosis Syndrome (Black Esophagus): A Case Report of Rare Presentation.

Cureus 2022 Apr 19;14(4):e24276. Epub 2022 Apr 19.

Internal Medicine, MountainView Hospital, Las Vegas, USA.

Acute esophageal necrosis (AEN) is a rare clinical finding due to multifocal factors consisting of an ischemic insult to the esophagus, corrosive injury from gastric content, and diminished mucosal defense. It is also referred to as "black esophagus" or acute necrotizing esophagitis. The clinical presentation mainly consists of upper gastrointestinal bleed and abdominal pain. Read More

View Article and Full-Text PDF

Predicting Gastrostomy Tube Placement After Intracerebral Hemorrhage: External Validation of the GRAVo Score.

Neurocrit Care 2022 May 23. Epub 2022 May 23.

Department of Neurology/Stroke Division, Beth Israel Deaconess Medical Center, Palmer 127, 185 Pilgrim Road, Boston, MA, 02215, USA.

Background: Dysphagia is a common consequence of intracerebral hemorrhages (ICH). It can lead to enduring impairments of dietary intake and the requirement for feeding via percutaneous gastrostomy (PEG) tubes. However, variabilities in the course of swallowing recovery after ICH make it difficult to anticipate the need for PEG placement in an individual patient. Read More

View Article and Full-Text PDF

Swallowing function improvement using costal cartilage for severe dysphagia after supracricoid hemilaryngopharyngectomy.

Auris Nasus Larynx 2022 May 20. Epub 2022 May 20.

Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.

Supracricoid hemilaryngopharyngectomy (SCHLP) is a laryngeal preservation surgery for hypopharyngeal carcinoma confined to the pyriform sinus or laryngeal carcinoma with arytenoid infiltration. Postoperative dysphagia is inevitable, but both voice and swallowing functions can be preserved. Here, we present a case of severe dysphagia secondary to unexpected postoperative tissue loss and scarring. Read More

View Article and Full-Text PDF

British Society of Gastroenterology (BSG) and British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) joint consensus guidelines on the diagnosis and management of eosinophilic oesophagitis in children and adults.

Gut 2022 May 23. Epub 2022 May 23.

Department of Gastroenterology, Sandwell General Hospital, West Bromwich, UK.

Background: Eosinophilic oesophagitis (EoE) is an increasingly common cause of dysphagia in both children and adults, as well as one of the most prevalent oesophageal diseases with a significant impact on physical health and quality of life. We have provided a single comprehensive guideline for both paediatric and adult gastroenterologists on current best practice for the evaluation and management of EoE.

Methods: The Oesophageal Section of the British Society of Gastroenterology was commissioned by the Clinical Standards Service Committee to develop these guidelines. Read More

View Article and Full-Text PDF

Incidence of opioid-induced esophageal dysfunction.

Gastroenterol Hepatol 2022 May 20. Epub 2022 May 20.

Digestive Functional Disorders Unit, Gastroenterology Department, Hospital Universitario y Politécnico La Fe, Valencia, Spain; Department of Medicine, Universidad de Valencia, Valencia, Spain.

Background: Retrospective studies have suggested that long-term use of opioids can cause esophageal motility dysfunction. A recent clinical entity known as opioid-induced esophageal dysfunction (OIED) has been postulated. There is no data from prospective studies assessing the incidence of opioid-induced effects on the esophagus. Read More

View Article and Full-Text PDF

Combined Spinal-Epidural for Loop Ileostomy in a Patient With End-Stage Amyotrophic Lateral Sclerosis: A Case Report.

A A Pract 2022 May 1;16(5):e01588. Epub 2022 May 1.

From the Department of Anesthesiology, New York Presbyterian/Weill Cornell Medical Center, New York, New York.

Anesthesia can be a challenge for patients with amyotrophic lateral sclerosis (ALS). This progressive neurological disease is associated with a high risk of aspiration and postoperative ventilatory failure. Our patient was a 72-year-old man with ALS, quadriplegia, bulbar symptoms, dysphagia, and dysarthria who underwent palliative exploratory laparotomy and loop ileostomy creation. Read More

View Article and Full-Text PDF

Advanced Achalasia Mimicking Delayed Gastric Emptying During Standard Gastric Emptying Scintigraphy.

Clin Nucl Med 2022 May 19. Epub 2022 May 19.

From the Department of Nuclear Medicine and Molecular Imaging, Emory University School of Medicine, Atlanta, GA.

Abstract: An 82-year-old man underwent outpatient nuclear medicine gastric-emptying scintigraphy (GES) for dysphagia and regurgitation. Standard solid-meal GES showed significant elongated tracer retention with calculated 96% retention rate at 3 hours, with a presumed diagnosis of delayed gastric emptying. Subsequent CT of the chest and abdomen and upper gastrointestinal fluoroscopy instead showed normal size and function of the stomach but an enormously dilated esophagus with food debris, compatible with achalasia. Read More

View Article and Full-Text PDF

Endoscopic submucosal dissection combined with adjuvant chemotherapy for early-stage neuroendocrine carcinoma of the esophagus: A case report.

Authors:
Nan Tang Zhen Feng

World J Clin Cases 2022 Apr;10(10):3164-3169

Department of Gastroenterology, Shanghai Xuhui Center Hospital, Shanghai 200031, China.

Background: Neuroendocrine carcinoma (NEC) of the esophagus is rare and highly aggressive, and lacks biological features. Currently, there are no established standard treatments for this cancer. In this report, we describe a patient with large-cell NEC of the esophagus who was successfully treated using endoscopic submucosal dissection (ESD) combined with adjuvant chemotherapy. Read More

View Article and Full-Text PDF

Intralesional steroid injection after endoluminal esophageal stricture dilatation in a cat.

Open Vet J 2022 Mar-Apr;12(2):192-196. Epub 2022 Mar 25.

Gedyt, Gastroenterología Diagnóstica y Terapéutica, CABA, Argentina.

Background: Benign esophageal strictures arise from various etiologies, mostly severe esophagitis. Although endoscopic balloon dilation is still the first-line therapy, refractory or recurrent strictures do occur and remain a challenge to the endoluminal treatment. The aim of this report was to communicate a recurrent esophageal stricture resolution in a cat treated with balloon dilatation and steroid injections in Ciudad de Buenos Aires, Argentina. Read More

View Article and Full-Text PDF

Adult Presentation of Joubert Syndrome Presenting With Dysphagia: A Case Report.

Cureus 2022 Apr 18;14(4):e24226. Epub 2022 Apr 18.

Department of Radiology, Jordan Ministry of Health, Amman, JOR.

Joubert syndrome (JS) is a rare autosomal recessive disease affecting the cilium, an intracellular organelle. It has a wide spectrum of presentations with the involvement of multiple genes. JS has multiple subtypes that are either pure JS or JS with other organ involvement such as the kidneys, liver, and others. Read More

View Article and Full-Text PDF

The Impact of COVID-19 Infection on a Neurologically Compromised Male With Fahr's Disease Presenting With Acute Delirium and Aspiration Pneumonia: A Case Report.

Cureus 2022 Apr 18;14(4):e24233. Epub 2022 Apr 18.

Medicine, Icahn School of Medicine at Mount Sinai / NYC Health + Hospitals Queens, New York, USA.

Fahr's disease or idiopathic basal ganglia calcification is a rare, sporadic, genetically dominant, and inherited neurological condition that manifests with dysphagia and Parkinson's disease. The computed tomography (CT) scan is the method of choice to diagnose basal ganglia calcifications seen in Fahr's disease. This case report elaborates on the emergency management of a 58-year-old male patient with acute respiratory distress, acute delirium, schizophrenia, Fahr's syndrome, and history of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease 2019 or COVID-19) infection. Read More

View Article and Full-Text PDF

Esophageal Candidiasis in a Non-HIV Patient: A Primary Care Diagnosis.

Cureus 2022 Apr 20;14(4):e24312. Epub 2022 Apr 20.

General Practice and Family Medicine, Unidade de Saúde Familiar (USF) Monte Pedral, Lisbon, PRT.

A 74-year-old man visited his family doctor for dysphagia and was diagnosed with esophageal candidiasis. His risk factors included type 2 diabetes mellitus, long-term intake of budesonide/formoterol inhaler 160/45 µg, and pantoprazole 20 mg. He was treated with fluconazole 200 mg per day for 14 days. Read More

View Article and Full-Text PDF

Chronic fibrosing esophagitis with diffuse esophageal intramural pseudo-diverticulosis.

JGH Open 2022 May 11;6(5):287-291. Epub 2022 May 11.

Department of Gastroenterology and Hepatology Brandenburg Medical School (Theodor Fontane) Brandenburg Germany.

Diffuse esophageal intramural pseudo-diverticulosis (DEIPD) is a chronic fibrosing inflammation of the esophagus of unknown origin. Its name derives from the characteristic pseudo-diverticula formed by dilated ducts of submucosal glands. With an assumed prevalence of approximately 5-50/100 000, DEIPD is more frequent than previously estimated. Read More

View Article and Full-Text PDF

[Efficacy comparison of zero-profile intervertebral fusion and stand-alone interbody cage combined with cage-titanium plate construct in treatment of two-segment skip cervical spondylosis].

Zhonghua Yi Xue Za Zhi 2022 May;102(19):1450-1457

Department of Orthopedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To investigate the difference in clinical efficacy between zero-profile interbody fusion (ROI-C) and stand-alone interbody cage combined with cage-titanium plate construct for patient with two-segment skipped cervical spondylosis who received the anterior cervical discectomy and fusion (ACDF) surgical strategies. The clinical data of 62 patients with two-segment skipped cervical spondylosis who underwent surgical treatment in the First Affiliated Hospital of Zhengzhou University from June 2017 to June 2020 were retrospectively analyzed, included 38 males and 24 females, aged (53.3±8. Read More

View Article and Full-Text PDF

[History and present situation of seromuscular flap anastomosis in proximal gastrectomy].

Zhonghua Wei Chang Wai Ke Za Zhi 2022 May;25(5):466-470

Department of gastrointestinal Surgery, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China.

With the increasing detection rate of early upper gastric cancer and adenocarcinoma of esophagogastric junction, the safety of proximal gastrectomy with clear indications has been verified, and function-preserving proximal gastrectomy has been widely used. However, proximal gastrectomy destructs the normal anatomical structure of esophagogastric junction, resulting in severe postoperative gastroesophageal reflux symptoms and seriously affecting the quality of life. Among various anti-reflux surgery methods, reconstruction of "cardiac valve" has always been the focus of relevant scholars because its similarity with the mechanism of normal anti-reflux. Read More

View Article and Full-Text PDF

[Functional outcomes of 100 patients with adenocarcinoma of the esophagogastric junction undergoing Cheng's GIRAFFE(®) reconstruction after proximal gastrectomy].

Zhonghua Wei Chang Wai Ke Za Zhi 2022 May;25(5):447-453

Department of Gastric Surgery, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital) , Hangzhou 310022, China.

To investigate the functional outcomes and postoperative complications of Cheng's GIRAFFE reconstruction after proximal gastrectomy. A descriptive case series study was conducted. Clinical data of 100 patients with adenocarcinoma of the esophagogastric junction who underwent Cheng's GIRAFFE reconstruction after proximal gastrectomy in Cancer Hospital of University of Chinese Academy of Sciences (64 cases), Zhejiang Provincial Hospital of Chinese Medicine (24 cases), Lishui Central Hospital (10 cases), Huzhou Central Hospital (1 case) and Ningbo Lihuili Hospital (1 case) from September 2017 to June 2021 were retrospectively analyzed. Read More

View Article and Full-Text PDF