Clinico-pathological Profile of Oesophageal Dysphagia.
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Date
2011-10
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Abstract
Introduction: Dysphagia can cause significant morbidity
and mortality, especially in the elderly and the paediatric
population. The study was undertaken to determine the
clinico-pathological profile of the patients diagnosed with
oesophageal dysphagia in a rural tertiary care hospital of
India. Methods: This cross sectional, descriptive study was
carried out in the ENT Department of Rural Medical College
and Pravara Rural Hospital, Loni, Maharashtra. Patients
attending the ENT Out Patient Department during 2009
and later diagnosed as cases of oesophageal dysphagia
formed the statistical sample. Results: Out of 61 patients,
37 were male and 24 female. Majority of the patients
belonged to age group 41-50 years (24.6%), were farmer
by occupation (31.1%) and belonged to middle
socioeconomic status (34.4%). Pain (throat, retrosternal
or epigastric) was the most common (70.5%) presenting
complaint. For 39.3% study subjects, the presenting
complaint was 3 to 6 months old. Barium swallow study
revealed a positive finding in 74.1% (n=40/54) patients,
with carcinoma of oesophagus (27.8%) as the most
common aetiology, followed by motility disorders and
benign strictures. Oesophagoscopy detected lesions in 49
(90.74%) cases and like barium swallow, it also detected
carcinoma oesophagus as the most common cause of
oesophageal dysphagia. Reflux oesophagitis was the most
common form of the oesophagitis and the microbiological
examination and culture of samples of 14 patients diagnosed
with any form of oesophagitis showed Candida albicans
in 21.4%. Conclusion: Dysphagia is a common presenting
complaint in the ENT clinic. There is a male preponderance
with incidence of malignancy rising with age. Barium
swallow may be used as the first line of investigation;
however, oesophagoscopy gives a better diagnosis.
Description
Keywords
oesophageal dysphagia, barium swallow, oesophagoscopy
Citation
Kishve Sanjay P, Aarif Syed M M, Kishve Prajakta S, Kalakoti Piyush. Clinico-pathological Profile of Oesophageal Dysphagia. Indian Medical Gazette. 2011 Oct ; 145 (10): 379-384.