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Endoscopy of the Pharynx and Oesophagus

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Dysphagia

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

Abstract

The pharynx and oesophagus belong to the upper digestive tract; their morphology and function enable normal swallowing. Dysphagia is one of the main symptoms in patients with laryngeal, pharyngeal and oesophageal diseases. Diagnostics need to consider the entire swallowing chain from the oral cavity to the stomach. However, there is a close relationship between diseases of the pharynx, larynx and oesophagus: gastrointestinal disorders, e.g. reflux disease, may show extraoesophageal manifestations in the pharynx and larynx, and in case of tumours in the upper aerodigestive tract or oesophagus, there may occur additional simultaneous tumours urging for early diagnosis.

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References

  • Alberty J, Müller C, Stoll W (2001) Is the rigid hypopharyngo-oesophagoscopy for suspected body impaction still up to date. Laryngo Rhino Otol 80:682–686

    Article  CAS  Google Scholar 

  • Aloy A, Schachner M, Cancura W (1991) Tubeless translaryngeal superimposed jet ventilation. Eur Arch Otorhinolaryngol 248(8):475–478

    Article  CAS  PubMed  Google Scholar 

  • 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 104:333–339

    Article  CAS  PubMed  Google Scholar 

  • Aviv JE (2000) Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia. Laryngoscope 110(4):563–574

    Article  CAS  PubMed  Google Scholar 

  • 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 107:378–387

    Article  CAS  PubMed  Google Scholar 

  • 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):338–341

    Article  PubMed  Google Scholar 

  • Bastian RW (1991) Videoendoscopic evaluation of patients with dysphagia: an adjunct to the modified barium swallow. Otolaryngol Head Neck Surg 104(3):339–350

    Article  CAS  PubMed  Google Scholar 

  • Becker W, Naumann HH, Pfaltz CR (1983) Atlas der Hals-Nasen-Ohrenkrankheiten, 2nd edn. Thieme, Stuttgart

    Google Scholar 

  • Bergman JJ, Fockens P (1999) Endoscopic ultrasonography in patients with gastro-oesophageal cancer. Eur J Ultrasound 10(2–3):127–138

    Article  CAS  PubMed  Google Scholar 

  • Bigenzahn W, Denk D-M (1999) Oropharyngeale Dysphagien. Ätiologie, Klinik, Diagnostik und Therapie von Schluckstörungen. Thieme, Stuttgart

    Google Scholar 

  • 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 3:61–66

    Article  CAS  PubMed  Google Scholar 

  • Davaris N, Voigt-Zimmermann S, Roessner A, Arens C (2017) Narrow band imaging for evaluation of laryngeal mucosal lesions. HNO 65(6):527–542

    Article  CAS  PubMed  Google Scholar 

  • 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 59:100–105

    CAS  Google Scholar 

  • Denk DM, Bigenzahn W (2005) Management oropharyngealer Dysphagien. Eine Standortbestimmmung [Management of oropharyngeal dysphagia. Current status]. HNO 53(7):661–672

    Article  PubMed  Google Scholar 

  • 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):319–324

    Article  CAS  PubMed  Google Scholar 

  • Ekberg O, Olsson R (1997) Dynamic radiology of swallowing disorders. Endoscopy 29(6):439–446

    Article  CAS  PubMed  Google Scholar 

  • Herrmann I (1998) Advanced course in Videopanendoscopy, vol 32. Fortbildungsveranstaltung für HNO-Ärzte, Hannover

    Google Scholar 

  • Hörmann K, Schmidt H (1998) Flexible endosopy in ENT practice. HNO 46:654–659

    Article  PubMed  Google Scholar 

  • 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 33–50

    Chapter  Google Scholar 

  • Kawaida M, Fukuda H, Kohno N (2002) Digital image processing of laryngeal lesions by electronic videoendoscopy. Laryngoscope 112:559–564

    Article  PubMed  Google Scholar 

  • Kleinsasser O (1968) Mikrolaryngoskopie und endolaryngeale Mikrochirurgie. Technik und typische Befunde. Schattauer, Stuttgart

    Google Scholar 

  • Knyrim K, Wagner HJ, Bethge N, Keymling M, Vakil N (1993) A controlled trial of an expansile metal stent for palliation of oesophageal obstruction due to inoperable cancer. N Engl J Med 329(18):1302–1307

    Article  CAS  PubMed  Google Scholar 

  • Langmore SE (2001) Endoscopic evaluation and treatment of swallowing disorders. Thieme, Stuttgart

    Google Scholar 

  • Langmore SE, Schatz K, Olsen N (1988) Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia 2(4):216–219

    Article  CAS  PubMed  Google Scholar 

  • Langmore SE (2017) History of fiberoptic endoscopic evaluation of swallowing for evaluation and management of pharyngeal dysphagia: changes over the years. Dysphagia 32:27–38. https://doi.org/10.1007/s00455-016-9775-x

    Article  PubMed  Google Scholar 

  • Logemann J (1993) Manual for the videofluorographic study of swallowing, 2nd edn. Pro-ed, Austin

    Google Scholar 

  • Logemann JA (1998) Evaluation and treatment of swallowing disorders. Pro-ed, Austin

    Google Scholar 

  • Malzahn K, Dreyer T, Glanz H, Arens C (2002) Autofluorescence endoscopy in the diagnosis of early laryngeal cancer and its precursor lesions. Laryngoscope 112:488–493

    Article  PubMed  Google Scholar 

  • Monnier P, Lang FJ (1997) Current position of endoscopy in otorhinolaryngology. HNO 45(11):886–887

    Article  CAS  PubMed  Google Scholar 

  • Naccia A, Matteucci J, Romeo AO, Santopadrea S, Cavaliere MD, Barillari MR, Berrettini S, Bruno Fattori B (2016) Complications with Fiberoptic endoscopic evaluation of swallowing in 2,820 examinations. Folia Phoniatr Logop 68:37–45. https://doi.org/10.1159/000446985

    Article  Google Scholar 

  • Owings MF, Kozak LJ (1998) Ambulatory and inpatient procedure in the United States. Vital and Health Stat (US-DHSS) 139:1–13

    Google Scholar 

  • Parparella MM, Shumrick DA, Gluckmann JL, Meyerhoff WL (1991) Otolaryngology, Head and neck, vol 3. W. B. Saunders, Philadelphia

    Google Scholar 

  • Richards DG, Brown TH, Manson JM (2000) Endoscopic ultrasound in the staging of tumours of the oesophagus and gastro-oesophageal junction. Ann R Coll Surg Engl 82(5):311–317

    PubMed  PubMed Central  CAS  Google Scholar 

  • Rosenbek JC, Robbins JA, Roecker EB et al (1996) A penetration-aspiration scale. Dysphagia 11:93–98

    Article  CAS  PubMed  Google Scholar 

  • Savary M, Miller G (1977) Der Ösophagus. Lehrbuch und endoskopischer Atlas. Gassmann, Solothurn

    Google Scholar 

  • Schima W, Denk D-M (1998) Videofluoroscopic and videoendoscopic studies: complementary methods for assessment of dysphagia. Proceedings, EGDG, Vienna

    Google Scholar 

  • Schmidt H, Hormann K, Stasche N, Steiner W (1998) Tracheobronchoscopy and oesophagoscopy in otorhinolaryngology. An assessment of current status. HNO 46(7):643–650

    Article  CAS  PubMed  Google Scholar 

  • Schmidt H, Hormann K, Stasche N, Steiner W (2010) ENT-recommendations for oesophagoscopy. Laryngo-Rhino_Otol 89:540–543

    Article  CAS  Google Scholar 

  • 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):48–53

    Article  CAS  PubMed  Google Scholar 

  • Schröter-Morasch H (1999) Klinische Untersuchung des Oropharynx und videoendoskopische Untersuchung der Schluckfunktion. In: Bartolome G (Hrsg): Schluckstörungen. Diagnostik und Rehabilitation. 2 Aufl, Urban & Fischer, München-Jena, pp 111–140

    Google Scholar 

  • 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):172–182

    Article  PubMed  Google Scholar 

  • Tio TL (1998) Endosonography in gastroenterology. Springer, Heidelberg

    Google Scholar 

  • Tong MC, Gao H, Lin JS, Ng LK, Sang Chan H, Kwan Ng S (2012) One-stop evaluation of globus pharyngeus symptoms with transnasal oesophagoscopy and swallowing function test. J Otolaryngol Head Neck Surg 41(1):46–50

    PubMed  Google Scholar 

  • 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):161–167

    Article  PubMed  Google Scholar 

  • 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):253–258

    PubMed  Google Scholar 

  • Ziegler K, Sanft C, Semsch B, Friedrich M, Gregor M, Riecken EO (1988) Endosonography is superior to computed tomography in staging tumors of the oesophagus and the cardia. Gastroenterology 94:A267

    Google Scholar 

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Correspondence to Doris-Maria Denk-Linnert M.D. .

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Denk-Linnert, DM., Schöfl, R. (2018). Endoscopy of the Pharynx and Oesophagus. In: Ekberg, O. (eds) Dysphagia. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_130

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  • DOI: https://doi.org/10.1007/174_2017_130

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68571-7

  • Online ISBN: 978-3-319-68572-4

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