Endoscopists must be aware of this rare condition while evaluating a patient presenting with oropharyngeal dysphagia.
📌 3 Maddede Bu Makale
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Amaç & Hipotez:The upper esophageal sphincter (UES) has various important functions, such as protection of the airway from aspiration and conduct of bolus into esophagus, which are controlled by complex neuronal mechanisms.
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Temel Bulgular & Veri:Here we present an 80-year-old male with non-progressive dysphagia and patulous UES incidentally found on esophagoduodenoscopy.
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Sonuç & Katkı:Endoscopists must be aware of this rare condition while evaluating a patient presenting with oropharyngeal dysphagia.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri
Özet
The upper esophageal sphincter (UES) has various important functions, such as protection of the airway from aspiration and conduct of bolus into esophagus, which are controlled by complex neuronal mechanisms. The functions will be affected when there is malfunction of the UES due to various etiologies. Here we present an 80-year-old male with non-progressive dysphagia and patulous UES incidentally found on esophagoduodenoscopy. There are no documented cases of idiopathic patulous UES in literature. Endoscopists must be aware of this rare condition while evaluating a patient presenting with oropharyngeal dysphagia.
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Bu Makaleye Atıf Yap
JAMES, A., KARUNAKARAN, P. K., KINI, R., THANGAVEL, P. (2018). Patulous upper esophageal sphincter - an unusual endoscopic finding. Turkish Journal of Gastroenterology, Cilt: 29 - Sayı: 1, 116–118. https://ajindex.com/articles/410094
Aviv JE, Takoudes TG, Ma G, Close LG. Office-based esophago-scopy: A preliminary report. Otolaryngol Head Neck Surg 2001; 125: 170-5. [CrossRef] 11. Jacob P, Kahrilas PJ, Logemann JA, Shah V, Ha T. Upper esopha-geal sphincter opening and modulation during swallowing. Gastro-enterology 1989; 97: 1469-78. [CrossRef] 10. Asoh R, Goyal RK. Manometry and electromyography of the up-per esophageal sphincter in the opossum. Gastroenterology 1978; 74: 514-20. 9. Migliore M. Interpretation of a manometric trace of the upper esoph-ageal sphincter. J Neurogastroenterol Motil 2013; 19: 415-6. [CrossRef] 8. Migliore M. A dissection of a manometric trace of the upper esophageal sphincter and the crico-esophageal coordination. Ann Ital Chir 2013; 84: 133-6. 7. Cook IJ, Dodds WJ, Dantas RO, et al. Opening mechanisms of the human upper esophageal sphincter. Am J Physiol 1989; 257: G748-59. [CrossRef] 6. Lang IM, Dantas RO, Cook IJ, Dodds WJ. Videoradiographic, mano-metric, and electromyographic analysis of canine upper esophageal sphincter. Am J Physiol 1991; 260: G911-9. [CrossRef] 5. Sprague JM: The innervation of the pharynx in the rhesus monkey and the formation of the pharyngeal plexus in primates. Anat Rec 1944; 90: 197-208. [CrossRef] 4. Cook IJ. Cricopharyngeal function and dysfunction. Dysphagia 1993; 8: 244-51. [CrossRef] 3. Skandalakis JE, Ellis H. Embryologic and Anatomic basis of Esoph-ageal surgery. Surg Clin North Am 2000; 80: 85-155. [CrossRef] 2. Kahrilas PJ, Dodds WJ, Dent J, Logemann JA, Shaker R. Upper esophageal sphincter function during deglutition. Gastroenterology 1988; 95: 52-62. [CrossRef] 1. Ahuja NK, Chan WW. Assessing upper esophageal sphincter function in clinical practice: a primer. Curr Gastroenterol Rep 2016; 18: 1-7. [CrossRef]