Abstract
Patients with globus pharyngeus referred for barium swallow pharyngoesophagography in a local hospital from 1/7/1999 to 30/6/2009 were identified. Their fluoroscopic images were reviewed, and their outcomes were used as gold standard. A total of 908 patients with globus pharyngeus were referred for barium swallow in the period. There were 783 patients with normal barium swallow and 125 patients with abnormal barium swallow findings. All patients aged below 30 years had normal barium swallow result and unremarkable follow up. The sensitivity and specificity of barium swallow were 25.6 and 97.5% respectively; and the positive predictive value and negative predictive value were 61.5 and 89.1% respectively. The overall accuracy was 87.6%. Barium swallow is of limited diagnostic value in patients with typical globus pharyngeus, and it is not recommended in these patients, especially with young age.
Similar content being viewed by others
References
Hajioff D, Lowe D (2004) The diagnostic value of barium swallow in globus syndrome. Int J Clin Pract 58(1):86–89
Karkos PD, Wilson JA (2008) The diagnosis and management of globus pharyngeus: our perspective from the United Kingdom. Curr Opin Otolaryngol Head Neck Surg 16(6):521–524
Caylakli F, Yavuz H, Erkan AN, Ozer C, Ozluoglu LN (2006) Evaluation of patients with globus pharyngeus with barium swallow pharyngoesophagography. Laryngoscope 116(1):37–39
Wall BF, Hart D (1997) Revised radiation doses for typical x-ray examinations. Br J Radiol 70:437–439
National Radiological Protection Board (1993) The board statement on the 1990 recommendations of international committee for radiation protection. Natl Radiol Prot 4:1
Alaani A, Vengala S, Johnston MN (2007) The role of barium swallow in the management of the globus pharyngeus. Eur Arch Otorhinolaryngol 264(9):1095–1097 Epub 2007 Apr 24
Harar RP, Kumar S, Saeed MA, Gatland DJ (2004) Management of globus pharyngeus: review of 699 cases. J Laryngol Otol 118(7):522–527
Back GW, Leong P, Kumar R, Corbridge R (2000) Value of barium swallow in investigation of globus pharyngeus. J Laryngol Otol 114(12):951–954
Rowley H, O’Dwyer TP, Jones AS, Timon CI (1995) The natural history of globus pharyngeus. Laryngoscope 105(10):1118–1121
Tsikoudas A, Ghuman N, Riad MA (2007) Globus sensation as early presentation of hypopharyngeal cancer. Clin Otolaryngol 32(6):452–456
Batch AJG (1988) Globus pharyngeous. J Laryngol Otol 102:152–158
Remacle M (2008) The diagnosis and management of globus: a perspective from Belgium. Curr Opin Otolaryngol Head Neck Surg 16(6):511–515
Oridate N, Nishizawa N, Fukuda S (2008) The diagnosis and management of globus: a perspective from Japan. Curr Opin Otolaryngol Head Neck Surg 16(6):498–502
Ott DJ, Ledbetter MS, Koufman JA, Chen MY (1994) Globus pharyngeus: radiographic evaluation and 24-hour pH monitoring of the pharynx and esophagus in 22 patients. Radiology 191(1):95–97
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Luk, W.H., Lo, A.X.N., Au-Yeung, A.W.S. et al. The Role of Barium Swallow Pharyngoesophagography in the Management of the Globus Pharyngeus: Our Ten Years Local Experience of Asian Population. Indian J Otolaryngol Head Neck Surg 66 (Suppl 1), 153–155 (2014). https://doi.org/10.1007/s12070-011-0385-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-011-0385-5