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Making Dysphagia Easier to Swallow

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Presentation on theme: "Making Dysphagia Easier to Swallow"— Presentation transcript:

1 Making Dysphagia Easier to Swallow
Claire L. Jansson-Knodell, MD, D. Chamil Codipilly, MD, Cadman L. Leggett, MD  Mayo Clinic Proceedings  Volume 92, Issue 6, Pages (June 2017) DOI: /j.mayocp Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

2 Figure 1 Diagnostic cascade for dysphagia. ALS = amyotrophic lateral sclerosis; CVA = cerebrovascular accident (stroke). Mayo Clinic Proceedings  , DOI: ( /j.mayocp ) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

3 Figure 2 Sample of diagnostic studies for causes of dysphagia. A, Videofluoroscopic swallow study showing hypopharyngeal residue in patient with dermatomyositis. B, Zenker diverticulum. C, Esophagogastroduodenoscopy showing severe erosive esophagitis (Los Angeles classification D). D, Esophagogastroduodenoscopy showing partially obstructive Schatzki ring. E and F, High-resolution esophageal manometry showing normal swallowing (panel E) compared with lack of peristalsis and hypertensive lower esophageal sphincter of achalasia (panel F). G, Barium esophagram of a patient with achalasia showing a dilated esophagus with “bird beak.” Mayo Clinic Proceedings  , DOI: ( /j.mayocp ) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

4 Figure 3 Work-up of dysphagia.
Mayo Clinic Proceedings  , DOI: ( /j.mayocp ) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions


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