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Gastroesophageal Reflux Disease, Globus, and Dysphagia

  • Chapter
Dysphagia

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Gastroesophageal reflux disease (GERD) is a highly prevalent disorder in Western society and closely linked with the production of two common symptoms—dysphagia and globus pharyngeus. The interrelationship of these symptoms with GERD and with each other is complex but critical to an understanding of patients' complaints, underlying pathological mechanisms and appropriate treatment planning. In this chapter we explore these relationships, related diagnostic methodology and options for treatment of reflux disorders, dysphagia and globus.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology, North Shore Hospital, Takapuna, Auckland, New Zealand

    Jacqui Allen

  2. Center for Voice and Swallowing, University of California, Davis, Sacramento, CA, 95817, USA

    Peter C. Belafsky

Authors
  1. Jacqui Allen
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  2. Peter C. Belafsky
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Correspondence to Jacqui Allen .

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Editors and Affiliations

  1. Skåne University Hospital, Dept. Clinical Sciences/, Lund University, Södra Förstadsgatan 101, Malmö, 205 02, Sweden

    Olle Ekberg

Appendix

Appendix

Table A.1 Ten-item Eating Assessment Tool (EAT-10) (Belafsky et al. 2008)
Full size table

Reflux Disease Questionnaire (RDQ) (Shaw et al. 2001)

Three domains (heartburn, regurgitation, dyspepsia)

  • Acid taste frequency

  • Acid taste severity

  • Movement of materials severity

  • Movement of materials frequency

  • Frequency of pain behind the breastbone

  • Frequency of burning behind the breastbone

  • Severity of burning behind the breastbone

  • Severity of pain behind the breastbone

  • Upper stomach burning severity

  • Upper stomach burning frequency

  • Upper stomach pain frequency

  • Upper stomach pain severity

Gastro-oesophageal Reflux Disease Impact Scale (GIS) (Jones et al. 2007)

Subjects make one of four responses—daily, often, sometimes, or never:

  1. 1.

    How often have you had the following symptoms:

    • Pain in your chest or behind the breastbone?

    • Regurgitation or acid taste in your mouth?

    • Pain or burning in your upper stomach?

    • Sore throat or hoarseness that is related to your heartburn or acid reflux?

  2. 2.

    How often have you had difficulty getting a good night’s sleep because of your symptoms?

  3. 3.

    How often have your symptoms prevented you from eating or drinking any of the foods you like?

  4. 4.

    How frequently have your symptoms kept you from being fully productive in your job or daily activities?

  5. 5.

    How often do you take additional medication other than what the physician told you to take (such as Tums, Rolaids, Maalox)?

Table A.2 Reflux Symptom Index (RSI) (Belafsky et al. 2002)
Full size table

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Allen, J., Belafsky, P.C. (2011). Gastroesophageal Reflux Disease, Globus, and Dysphagia. In: Ekberg, O. (eds) Dysphagia. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_340

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  • DOI: https://doi.org/10.1007/174_2011_340

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