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Dysphagia pp 391-407 | Cite as

Endoscopy of the Pharynx and Esophagus

  • Doris-Maria Denk-Linnert
  • Rainer Schöfl
Part of the Medical Radiology book series (MEDRAD)

Abstract

Endoscopy of the pharynx and esophagus contributes to the diagnostic work-up of the patients with pharyngeal and esophageal disorders. Dysphagia is one of the main symptoms. In many cases, endoscopy has emerged as “first-line” examination. In addition to the endoscopic visualization of the (aero)-digestive tract, biopsies allow histological diagnosis, and therapeutic manipulations can be performed. However, radiography, especially videofluoroscopy, remains indispensable. A main focus of diagnostic interest is the differential diagnosis between structural diseases and functional disorders. In order to meet the diagnostic and therapeutic requirements an interdisciplinary approach is necessary. Among others, otorhinolaryngologists, gastroenterologists, radiologists and surgeons cooperate in the patient management.

Keywords

Vocal Fold Aerodigestive Tract Flexible Endoscopy Eosinophilic Esophagitis Esophageal Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

The authors would like to thank Fritz Wewalka, MD, 4th Department of Internal Medecine, Hospital of the Elisabethinen, Linz, for his support and the provision of the figures 13.b-28

References

  1. Alberty J, Müller C, Stoll W (2001) Is the rigid hypopharyngo-esophagoscopy for suspected body impaction still up to date? Laryngo Rhino Otol 80:682–686CrossRefGoogle Scholar
  2. Aloy A, Schachner M, Cancura W (1991) Tubeless translaryngeal superimposed jet ventilation. Eur Arch Otorhinolaryngol 248(8):475–478PubMedCrossRefGoogle Scholar
  3. Andrea M, Dias O, Santos A (1995) Contact endoscopy during microlaryngeal surgery. A new technique for endoscopic examination of the larynx. Ann Otol Rhinol Laryngol 104:333–339PubMedGoogle Scholar
  4. Aviv JE (2000) Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia. Laryngoscope 110(4):563–574PubMedCrossRefGoogle Scholar
  5. Aviv JE, Kim T, Sacco RL, Kaplan S, Goodhart K, Diamond B, Close LG (1998) FEESST: a new bedside endoscopic test of the motor and sensory components of swallowing. Ann Otol Rhinol Laryngol 107:378–387PubMedGoogle Scholar
  6. Aviv JE, Spitzer J, Cohen M, Ma G, Belafsky P, Close LG (2002) Laryngeal adductor reflex and pharyngeal squeeze as predictors of laryngeal penetration and aspiration. Laryngoscope 112(2):338–341PubMedCrossRefGoogle Scholar
  7. Bastian RW (1991) Videoendoscopic evaluation of patients with dysphagia: an adjunct to the modified barium swallow. Otolaryngol Head Neck Surg 104(3):339–350PubMedGoogle Scholar
  8. Becker W, Naumann HH, Pfaltz CR (1983) Atlas der Hals-Nasen-Ohrenkrankheiten, 2nd edn. Thieme, StuttgartGoogle Scholar
  9. Bergman JJ, Fockens P (1999) Endoscopic ultrasonography in patients with gastro-esophageal cancer. Eur J Ultrasound 10(2–3):127–138PubMedCrossRefGoogle Scholar
  10. Bigenzahn W, Denk D-M (1999) Oropharyngeale Dysphagien. Ätiologie, Klinik, Diagnostik und Therapie von Schluckstörungen. Thieme, StuttgartGoogle Scholar
  11. Dammer R, Bonkowski V, Kutz R, Friesenecker J, Schüsselbauer T (1999) Early diagnosis of additional tumors at diagnosis of primary oral carcinoma using panendoscopy. Mund Kiefer Gesichtschir 3:61–66PubMedCrossRefGoogle Scholar
  12. Denk DM, Bigenzahn W (2005) Management oropharyngealer Dysphagien. Eine Standortbestimmmung [Management of oropharyngeal dysphagia. Current status]. HNO 53(7):661–672Google Scholar
  13. Denk D-M, Kaider A (1997) Videoendoscopic biofeedback: a simple method to improve the efficacy of swallowing rehabilitation of patients after head and neck surgery. Otorhinolaryngol 59:100–105Google Scholar
  14. Dhooge IJ, De Vos M, Albers FW, Van Cauwenberge PB (1996) Panendoscopy as a screening procedure for simultaneous primary tumors in head and neck cancer. Eur Arch Otorhinolaryngol 253(6):319–324PubMedCrossRefGoogle Scholar
  15. Ekberg O, Olsson R (1997) Dynamic radiology of swallowing disorders. Endoscopy 29(6):439–446PubMedCrossRefGoogle Scholar
  16. Herrmann I (1998) Advanced course in Videopanendoscopy, vol 32. Fortbildungsveranstaltung für HNO-Ärzte, HannoverGoogle Scholar
  17. Hörmann K, Schmidt H (1998) Flexible endosopy in ENT practice. HNO 46:654–659PubMedCrossRefGoogle Scholar
  18. Jones B, Donner MW (1991) The tailored examination. In: Jones B, Donner MW (eds) Normal and abnormal swallowing: imaging in diagnosis and therapy. Springer, Berlin, pp 33–50Google Scholar
  19. Kawaida M, Fukuda H, Kohno N (2002) Digital image processing of laryngeal lesions by electronic videoendoscopy. Laryngoscope 112:559–564PubMedCrossRefGoogle Scholar
  20. Kleinsasser O (1968) Mikrolaryngoskopie und endolaryngeale Mikrochirurgie. Technik und typische Befunde, SchattauerGoogle Scholar
  21. Knyrim K, Wagner HJ, Bethge N, Keymling M, Vakil N (1993) A controlled trial of an expansile metal stent for palliation of esophageal obstruction due to inoperable cancer. N Engl J Med. 28, 329(18):1302–1307Google Scholar
  22. Langmore SE (2001) Endoscopic evaluation and treatment of swallowing disorders. Thieme, StuttgartGoogle Scholar
  23. Langmore SE, Schatz K, Olsen N (1988) Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia 2(4):216–219PubMedCrossRefGoogle Scholar
  24. Logemann J (1993) Manual for the videofluorographic study of swallowing, 2nd edn. Pro-ed, TexasGoogle Scholar
  25. Logemann JA (1998) Evaluation and treatment of swallowing disorders. Pro-ed, AustinGoogle Scholar
  26. Malzahn K, Dreyer T, Glanz H, Arens Ch (2002) Autofluorescence endoscopy in the diagnosis of early laryngeal cancer and its precursor lesions. Laryngoscope 112:488–493PubMedCrossRefGoogle Scholar
  27. Monnier P, Lang FJ (1997) Current position of endoscopy in otorhinolaryngology. HNO 45(11):886–887PubMedCrossRefGoogle Scholar
  28. Owings MF, Kozak LJ (1998) Ambulatory and inpatient procedure in the United States. Vital Health Stat US-DHSS 139:1–13Google Scholar
  29. Parparella MM, Shumrick DA, Gluckmann JL, Meyerhoff WL (1991) Otolaryngology. Head and Neck, vol 3. WB Saunders Company, PhiladelphiaGoogle Scholar
  30. Richards DG, Brown TH, Manson JM (2000) Endoscopic ultrasound in the staging of tumour of the esophagus and gastro-esophageal junction. Ann R Coll Surg Engl 82(5):311–317PubMedGoogle Scholar
  31. Savary M, Miller G (1977) Der Ösophagus. Lehrbuch und endoskopischer Atlas, Gassmann, SolothurnGoogle Scholar
  32. Schima W, Denk D-M (1998) Videofluoroscopic and videoendoscopic studies: complementary methods for assessment of dysphagia. Proceedings, EGDG, ViennaGoogle Scholar
  33. Schmidt H, Hormann K, Stasche N, Steiner W (1998) Tracheobronchoscopy and esophagoscopy in otorhinolaryngology. An assessment of current status. HNO 46(7):643–650PubMedCrossRefGoogle Scholar
  34. Schmidt H, Hormann K, Stasche N, Steiner W (2010) ENT-recommendations for esophagoscopy. Laryngo-Rhino Otol 89:540–543Google Scholar
  35. Schragl E, Bigenzahn W, Donner A, Gradwohl I, Aloy A (1995) Laryngeal surgery with 3-D technique. Early results with the jet-laryngoscope in superimposed high-frequency jet ventilation. Anaesthesist 44(1):48–53PubMedCrossRefGoogle Scholar
  36. Schröter-Morasch H (1999) Klinische Untersuchung des Oropharynx und videoendoskopische Untersuchung der Schluckfunktion. In: Bartolome G (Hrsg) Schluckstörungen. Diagnostik und Rehabilitation vol 2. Aufl., Urban & Fischer, München-Jena, New York, pp 111–140Google Scholar
  37. Schröter-Morasch H, Bartolome G, Troppmann N, Ziegler W (1999) Values and limitations of pharyngolaryngoscopy (transnasal, transoral) in patients with dysphagia. Folia Phoniatr Logop 51(4–5):172–182PubMedCrossRefGoogle Scholar
  38. Tio TL (1998) Endosonography in gastroenterology. Springer, HeidelbergGoogle Scholar
  39. Tong MC, Gao H, Lin JS, Ng LK, Sang Chan H, Kwan Ng S.(2012) One-stop evaluation of globus pharyngeus symptoms with transnasal esophagoscopy and swallowing function test. J Otolaryngol Head Neck Surg 41(1):46–50Google Scholar
  40. Wakelin SJ, Deans C, Crofts TJ, Allan PL, Plevris JN, Paterson-Brown S (2002) A comparison of computerised tomography, laparoscopic ultrasound and endoscopic ultrasound in the properative staging of osophago-gastric carcinoma. Eur J Radiol 41(2):161–167Google Scholar
  41. Warnecke A, Averbeck T, Leinung M, Soudah B, Wenzel GI, Kreipe HH, Lenarz T, Stöver T (2010) Contact endoscopy for the evaluation of the pharyngeal and laryngeal mucosa. Laryngoscope 120(2):253–258PubMedGoogle Scholar
  42. Ziegler K, Sanft C, Semsch B, Friedrich M, Gregor M, Riecken EO (1988) Endosonography is superior to computed tomography in staging tumors of the esophagus and the cardia. Gastroenterology 94:A267Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, Section of Phoniatrics Vienna Medical School, Medical University of ViennaViennaAustria
  2. 2.4th Department of Internal MedicineHospital of the ElisabethinenLinzAustria

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