• Primary care · Sep 2023

    Review

    Dysphagia.

    • Edward Hurtte, Jocelyn Young, and C Prakash Gyawali.
    • Division of Gastroenterology, Washington University School of Medicine, Campus Box 8124, 660 South Euclid Avenue, St Louis, MO 63110, USA.
    • Prim. Care. 2023 Sep 1; 50 (3): 325338325-338.

    AbstractDysphagia is an important clinical symptom that increases in prevalence with age. Both oropharyngeal and esophageal processes can contribute to dysphagia, and these can be differentiated with a careful history. Neuromuscular processes are more prevalent than structural causes in oropharyngeal dysphagia, therefore, investigation should start with a modified barium swallow. In contrast, structural processes dominate in esophageal dysphagia, and endoscopy can offer biopsy and therapy by way of dilation. Manometry is performed for esophageal dysphagia when no structural etiology is found. Specific management of dysphagia is dependent on the etiology and mechanism of dysphagia.Copyright © 2023 Elsevier Inc. All rights reserved.

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