, Volume 271, Issue 1, pp 203-204
Date: 12 May 2013

Role of transnasal oesophagoscopy in diagnosis of early malignancy in the area of the oesophagus and hypopharynx. A review of the literature

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Globus is a common condition and a significant amount of patients with this problem present every day in ENT departments.

The concern is that a small number of patients with mainly oesophageal and to a lesser extent hypopharyngeal malignancies will present to the ENT surgeon with vague globus type symptoms. It is well known that the incident of oesophageal adenocarcinoma is on the increase and any delay in the diagnosis can have grave impact in the prognostic outlook of the patient. In the year 2000, the United Kingdom (UK) had the highest reported incidence worldwide for reasons yet unknown.

The pool of globus patients is a heterogeneous one. In the UK, there is no consensus for investigation protocols.

Gold standard is endoscopy. Until now, the oesophagus could represent a “grey” area between ENT and Gastroenterology. End result may have been only a part of this group of patients receiving a complete examination of the oesophagus.

Recent technological advancement is the transnasal oesoph ...