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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد

Approach to evaluating adults with nonacute esophageal dysphagia

Approach to evaluating adults with nonacute esophageal dysphagia
This figure summarizes an approach to evaluating adults with nonacute esophageal dysphagia for solids and/or liquids. Refer to UpToDate content on esophageal dysphagia for evaluation and management of patients with acute dysphagia related to food impaction or foreign body ingestion.

EGJ: esophagogastric junction; FLIP: functional lumen imaging probe; GERD: gastroesophageal reflux disease.

* A complex stricture has any of the following features:
  • Length ≥2 cm
  • Angulated or irregular surface
  • Severely narrowed (diameter ≤10 mm)
  • Associated with large hiatal hernia (>5 cm)
  • Associated with esophageal diverticulum

¶ If manometric findings are suspicious for external compression of the esophagus, perform barium esophagram if not done previously.

Δ An example of inconclusive manometric findings may be EGJ outflow obstruction in the absence of other supporting data (eg, imaging or FLIP).

◊ Some patients with inconclusive manometric findings may evolve to a well-defined diagnosis over time. Thus, observation with symptom monitoring may be an option for such patients.
Graphic 81108 Version 5.0