Role of flexible transnasal esophagoscopy and patient education in the management of globus pharyngeus

被引：6

作者：

Cheng, Chia-Chi ^{[1
,2
]}

Fang, Tuan-Jen ^{[1
,2
]}

Lee, Ta-Jen ^{[1
,2
]}

Lee, Li-Ang ^{[1
,2
]}

Chen, Tsung-Ming ^{[3
]}

Chen, Chin-Kuo ^{[1
,2
]}

Yeh, Albert Re-Ming ^{[1
,2
]}

Huang, Hao-Chun ^{[1
,2
]}

Hsiao, Han-Ren ^{[1
,2
]}

Lin, Wanni ^{[1
,2
]}

Kuo, Ying-Ling ^{[4
]}

Li, Hseuh-Yu ^{[1
,2
]}

机构：

[1] Chang Gung Mem Hosp, Dept Otolaryngol, Taipei, Taiwan

[2] Chang Gung Univ, Coll Med, Tao Yuan, Taiwan

[3] Taipei Med Univ, Shuang Ho Hosp, Taipei, Taiwan

[4] Mackay Mem Hosp, Dept Dermatol, Taipei, Taiwan

来源：

JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION | 2012年 / 111卷 / 03期

关键词：

flexible transnasal esophagoscopy; globus pharyngeus; patient education; LARYNGOPHARYNGEAL REFLUX; DIAGNOSIS; PERSPECTIVE; SYMPTOM; HEAD; ENT; ESOPHAGOGASTRODUODENOSCOPY; RELIABILITY; DYSPHAGIA; VALIDITY;

D O I：

10.1016/j.jfma.2011.02.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background/Purpose: Globus pharyngeus and dysphagia are common complaints of patients referred to ear, nose, and throat (ENT) clinics. We aimed to establish an efficient method to rule out the presence of malignancy in patients with globus pharyngeus and dysphagia. Methods: The use of flexible transnasal esophagoscopy (TNE) was evaluated in 30 patients with globus pharyngeus and 6 patients with dysphagia. The patients were immediately informed of the findings on TNE examination, and then treatments were planned. All patients were treated with lansoprazole for 2 weeks and provided education on lifestyle changes at the initial examination and at the 3-month follow-up. Results: The patients reported an improvement in symptoms of globus pharyngeus after treatment (p < 0.001). Follow-up TNE confirmed improvement with less dysphagia, erythema, and vocal cord edema evident (all p < 0.001). Conclusion: The use of TNE and patient education are efficient management strategies for patients with symptoms of globus pharyngeus and dysphagia. Copyright (C) 2012, Elsevier Taiwan LLC & Formosan Medical Association. All rights reserved.

引用

页码：171 / 175

页数：5

共 27 条

[11] The diagnosis and management of globus pharyngeus: our perspective from the United Kingdom [J].

Karkos, Petros D. ;

Wilson, Janet A. .

CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2008, 16 (06) :521-524

[12] The diagnosis and management of globus: a perspective from the United Kingdom [J].

Khalil, Hisham Saleh .

CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2008, 16 (06) :516-520

[13]

Malcomson K G, 1968, J Laryngol Otol, V82, P219, DOI 10.1017/S0022215100068687

[14] THE GLOBUS SYMPTOM - INCIDENCE, THERAPEUTIC RESPONSE, AND AGE AND SEX RELATIONSHIPS [J].

MOLOY, PJ ;

CHARTER, R .

ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 1982, 108 (11) :740-744

[15] Acid-suppression therapy offers varied laryngopharyngeal and esophageal symptom relief in laryngopharyngeal reflux patients [J].

Oridate, Nobuhiko ;

Takeda, Hiroshi ;

Asaka, Masahiro ;

Nishizawa, Noriko ;

Mesuda, Yasushi ;

Mori, Mika ;

Furuta, Yasushi ;

Fukuda, Satoshi .

DIGESTIVE DISEASES AND SCIENCES, 2008, 53 (08) :2033-2038

[16] Transnasal esophagoscopy: Revisited (over 700 consecutive cases) [J].

Postma, GN ;

Cohen, JT ;

Belafsky, PC ;

Halum, SL ;

Gupta, SK ;

Bach, KK ;

Koufman, JA .

LARYNGOSCOPE, 2005, 115 (02) :321-323

[17] How we do it: The role of trans-nasal flexible laryngo-oesophagoscopy (TNFLO) in ENT: one year's experience in a head and neck orientated practice in the UK [J].

Price, T ;

Sharma, A ;

Snelling, J ;

Bennett, AMD ;

Qayyum, A ;

Bradnam, T ;

Montgomery, P .

CLINICAL OTOLARYNGOLOGY, 2005, 30 (06) :551-556

[18] Laryngopharyngeal reflux: Current concepts in pathophysiology, diagnosis, and treatment [J].

Rees, Catherine J. ;

Belafsky, Peter C. .

INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, 2008, 10 (04) :245-253

[19] The diagnosis and management of globus: a perspective from Belgium [J].

Remacle, Marc .

CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2008, 16 (06) :511-515

[20] THE NATURAL-HISTORY OF GLOBUS PHARYNGEUS [J].

ROWLEY, H ;

ODWYER, TP ;

JONES, AS ;

TIMON, CI .

LARYNGOSCOPE, 1995, 105 (10) :1118-1121

← 1 2 3 →