Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0011168 (dysphagia)
 15,644 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Transesophageal echocardiography is a new approach that can be used to image cardiac structures. It combines two existing technologies: cardiac ultrasound and endoscopy. To obtain a cardiac image, the transesophageal probe has to be positioned properly within the esophagus. The first 1500 consecutive transesophageal echocardiographic examinations in ambulatory adult patients from one center were analyzed to identify conditions associated with failed esophageal intubation and procedural complications. Esophageal intubation was not achieved in 11 patients (0.73%). The reasons for the failure of intubation were operator inexperience, hypersensitive pharynx despite topical anesthesia, and cervical spondylosis. Six of those patients also had a history of dysphagia. Procedural complications were identified in seven patients (0.47%). Tracheal intubation was present in four patients, with immediate development of stridor and incessant cough in two patients. Atrial fibrillation developed in two patients--one had atrial myxoma and one had mitral stenosis. Bronchospasm developed during the transesophageal examination in one patient who was receiving long-term treatment for bronchial asthma. We conclude that transesophageal echocardiography is feasible in most adult patients in the ambulatory setting and that the complication rate is very low. Proper patient selection and preparation are crucial to the successful performance of this procedure.
 ...
PMID:Complications of transesophageal echocardiography in ambulatory adult patients: analysis of 1500 consecutive examinations. 176 Jan 79

Although cervical spondylosis is a common disorder, dysphagia induced by osteophyte formation is uncommon. Fewer than one hundred cases of cervical osteophyte induced dysphagia have been reported, with little attention to the diagnosis by barium swallow. The radiological features of two cases treated surgically with good results are described. Both cases complained of dysphagia while one had associated respiratory obstruction on forward flexion of his neck. The features on barium study of cervical osteophytes causing dysphagia include deformity at the level of osteophyte formation, in both AP and lateral projections. Tracheal aspiration due to deformity at the laryngeal inlet and interference with epiglottic retroversion may be present.
 ...
PMID:Cervical osteophyte induced dysphagia. 260 32

Five patients are described who had cervical fusion for dysphagia. A prospective study showed that this symptom was rare in those presenting with cervical spondylosis. Excision of the osteophytes together with an anterior fusion is required.
 ...
PMID:Dysphagia due to cervical osteophytes. A description of five patients and a review of the literature. 274 22

Cervical spondylosis and ankylosing hyperostosis of the cervical vertebrae are common findings. Although these hypertrophic changes can be completely asymptomatic, it is known that dysphagia may occur occasionally in the presence of massive cervical hyperostosis. Laryngotracheal symptoms due to cervical hyperostosis are less frequent and may be managed initially as tumors of the esophagus, trachea, or thyroid gland. The management of two severe cases of dyspnea due to cervical ankylosing hyperostosis are discussed.
 ...
PMID:Respiratory distress due to diffuse cervical hyperostosis. 356 57

Spondylosis can lead to dysphagia in the elderly. In these patients pressure of solid food on the osteophytes very probably induces pain and cricopharyngeal spasm, and a transient sharp cut-off is seen in the barium column at fluoroscopy. Three cases are presented and it is suggested that this triad should be looked for in all elderly patients with cervical spondylosis.
 ...
PMID:Cervical spondylosis and dysphagia. 729 68

Four cases of dysphagia associated with disease of the cervical spine have been presented. One of the patients had cervical spondylosis with osteophyte formation while the other three had Forestier's disease or ankylosing hyperostosis. Symptoms of dysphagia dominated the clinical picture and led to their referral for further management. Two patients underwent surgical procedures and one died in the postoperative period. Two patients were managed conservatively, one with antibiotics, and both did reasonably well. The literature of 40 cases published in the last 54 years has been reviewed. We suggest that dysphagia due to cervical spine disease while an uncommon complication of these bony growths, is by no means rare. The dysphagia may be due to bony protuberances into the hypopharynx or into the esophagus and may be accompanied by soft tissue inflammation. Although most patients have been treated surgically, there may be a role for anti-inflammatory or antibiotic therapy in the first instance as surgery is often morbid and sometimes fatal.
 ...
PMID:Cervical spine disease and dysphagia. Four new cases and a review of the literature. 730 39

Cervical spondylosis and ankylosing hyperostosis of the cervical vertebrae are commonly asymptomatic. Dysphagia caused by cervical osteophyte formation is rare. We report a case of spondylotic dysphagia with striking radiographic findings. A massive anterior cervical hyperostosis was resected via the anterior cervical approach with excellent relief of dysphagia.
 ...
PMID:Dysphagia caused by an anterior cervical osteophyte: case report. 770 91

The aim of this study was to assess the incidence and severity of dysphagia following anterior cervical spine surgery for cervical spondylosis. One-hundred patients were contacted 12-22 months following cervical spine surgery. Those reporting persistent swallowing impairment were invited to attend for further investigation. Of 73 respondents, 33 (45%) experienced postoperative dysphagia. This persisted for longer than 6 months in nine (12% of respondents). Of five subjects attending for investigation, none had a definite radiological abnormality. In contrast, manometry suggested hyperactivity of the pharyngo-oesophageal segment in these patients, although with normal co-ordination. Surgeons should warn of the risk of transient dysphagia in 45% of patients postoperatively and of its persistence in around 10%. Radiological examination may be normal and manometry is the investigation of choice. Persistent, severe dysphagia may be ameliorated by cricopharyngeal myotomy or pharyngeal dilatation.
 ...
PMID:Swallowing performance following anterior cervical spine surgery. 856 32

A case of dysphagia caused by anterior cervical osteophytes is presented. Although dysphagia and cervical spondylosis are common presenting problems, they are often unrelated to each other. The association between the two should, therefore, be accepted with caution; adequate investigation is necessary to avoid misdiagnosis. Review of the literature showed that this condition is relatively rare. The most likely mechanism of dysphagia is interference with swallowing at the pharyngo-oesophageal junction, although osteophytes in the lower cervical spine may also interfere with oesophageal peristalsis. Apart from the osteophytes of cervical spondylosis, those resulting from Forestier's disease, or Diffuse Idiopathic Skeletal Hyperostosis (DISH) have also been described to cause dysphagia.
 ...
PMID:An unusual cause of dysphagia. 894 39

Dysphagia is a common complaint of patients seen by physicians. Osteophyte compression due to diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease and cervical spondylosis has been identified as a cause of dysphagia. We report three elderly male cases of whom two had dysphagia due to DISH and one had dysphagia due to osteophyte compression associated with severe cervical spondylosis. Clinical and radiographical findings including barium oesophagogram and computed tomography are presented. Endoscopy should be carefully performed to rule out additional pathology in such patients. Medical treatment preferably with liquid forms of NSAIDs and diet may cause satisfactory improvement.
 ...
PMID:Osteophyte-induced dysphagia: report of three cases. 1202 18


1 2 Next >>