Chapter 312 Obstructing and Motility Disorders of the Esophagus Seema Khan, Susan R. Orenstein Obstructing lesions classically produce dysphagia to solids earlier and more noticeably than to liquids and can manifest when the infant liquid diet begins to incorporate solids; this is in contrast to dysphagia from dysmotility, in which swallowing of liquids is affected as early as, or earlier than, solids. In most instances of dysphagia, evaluation begins with fluoroscopy, which may include videofluoroscopic evaluation of swallowing, particularly if aspiration is a primary symptom. Secondary studies are often endoscopic if intrinsic obstruction is suspected or manometric if dysmotility is suspected; other imaging studies may be used in particular cases. Congenital lesions can require surgery, whereas webs and peptic strictures might respond adequately to endoscopic (or bougie) dilation. Peptic strictures, once dilated, should prompt consideration of fundoplication for ongoing prophylaxis. Extrinsic Esophageal duplication cysts Only gold members can continue reading. Log In or Register to continue Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Related Related posts: Rumination, Pica, and Elimination (Enuresis, Encopresis) Disorders Adolescent Pregnancy Neisseria gonorrhoeae (Gonococcus) Blastomycosis (Blastomyces dermatitidis) Stay updated, free articles. Join our Telegram channel Join Tags: Nelson Textbook of Pediatrics Expert Consult Jun 18, 2016 | Posted by admin in PEDIATRICS | Comments Off on Obstructing and Motility Disorders of the Esophagus Full access? Get Clinical Tree
Chapter 312 Obstructing and Motility Disorders of the Esophagus Seema Khan, Susan R. Orenstein Obstructing lesions classically produce dysphagia to solids earlier and more noticeably than to liquids and can manifest when the infant liquid diet begins to incorporate solids; this is in contrast to dysphagia from dysmotility, in which swallowing of liquids is affected as early as, or earlier than, solids. In most instances of dysphagia, evaluation begins with fluoroscopy, which may include videofluoroscopic evaluation of swallowing, particularly if aspiration is a primary symptom. Secondary studies are often endoscopic if intrinsic obstruction is suspected or manometric if dysmotility is suspected; other imaging studies may be used in particular cases. Congenital lesions can require surgery, whereas webs and peptic strictures might respond adequately to endoscopic (or bougie) dilation. Peptic strictures, once dilated, should prompt consideration of fundoplication for ongoing prophylaxis. Extrinsic Esophageal duplication cysts Only gold members can continue reading. Log In or Register to continue Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Related Related posts: Rumination, Pica, and Elimination (Enuresis, Encopresis) Disorders Adolescent Pregnancy Neisseria gonorrhoeae (Gonococcus) Blastomycosis (Blastomyces dermatitidis) Stay updated, free articles. Join our Telegram channel Join Tags: Nelson Textbook of Pediatrics Expert Consult Jun 18, 2016 | Posted by admin in PEDIATRICS | Comments Off on Obstructing and Motility Disorders of the Esophagus Full access? Get Clinical Tree
