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Query: UMLS:C0011168 (dysphagia)
 15,644 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A psychosomatic perspective reintroduces what has always been known but has become seemingly forgotten in contemporary medicine: To understand man in illness and health, social, inter- and intrapersonal considerations are of equal importance to the traditional biological concerns. The act of swallowing is discussed as a paradigm of such complex interactions. The oropharynx is a weather corner of man's non verbalized emotions. Globus sensation, dysphagia and vomiting, commonly described as being of psychosomatic origin, represent but a small part of the frequent functional disturbances of this region. The treating physician must have a special attitude in caring for the many patients with swallowing disorders. Accessibility, flexibility and a nonjudgmental approach are called for. Thus the 'helpless expert' can turn helper, a true therapist (Greek: therapon = servant) and spare the patient a long and futile Odyssey from doctor to doctor.
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PMID:[Psychosomatic considerations in dysphagia]. 204 22

Globus sensation (GS) is a common benign finding that is often associated with frequent throat clearing and is commonly a result of laryngopharyngeal reflux. The primary objective of this investigation was to examine the role of the modified barium swallow study (MBSS) with esophagram in the diagnosis and management patients who present with chief complaints of a GS. We hypothesize that these radiographic swallow studies do not add clinically significant information in the investigation of this common complaint. Retrospective chart review of patients with chief complaints of GS between 2000 and 2009 who underwent both MBSS and esophagram was conducted. Of the 380 patients who underwent MBSS, only 68 patients were eligible for this study. Over 70 % of patients were on reflux medicines, 81 % of the MBSS studies were normal, 62 % of the esophagram results were normal, 18 % of patients had a hiatal hernia, and 10 % exhibited signs of reflux. Esophagoscopy was performed in 45 % of patients, of which 35 % were normal. One patient initially had a normal esophagogastroduodenoscopy and then was subsequently diagnosed with gastric CA. Fifty-nine percent of patients underwent CT Neck with IV contrast, of which 67 % had minor findings. Positive findings are often benign and can be treated with reflux medications. Esophagoscopy was often normal and most sensitive only for hiatal hernia. No hypopharyngeal cancer was noted. Therefore, MBSS and esophagram for patients with GS are most often negative and fail to add significant diagnostic information.
Dysphagia 2015 Oct
PMID:The Role of the Modified Barium Swallow Study and Esophagram in Patients with Globus Sensation. 2611 41