Endoscopic Balloon Dilatation for the Treatment of Cricopharyngeal Dysfunction with Dysphagia
Journal of the Korean Geriatrics Society
;
: 95-100, 2009.
Article
in Korean
| WPRIM
| ID: wpr-46171
ABSTRACT
Primary cricopharyngeal dysfunction is a rare, idiopathic, functional disorder of the upper esophageal sphincter (UES) characterized by dysphagia, frequent aspiration, and functional narrowing at the level of UES. It is caused by failure or partial relaxation of the sphincter, lack of pharyngoesophageal coordination, or reduced compliance of the muscular of the UES. We saw a 62-year-old man who presented with dysphagia and UES narrowing on videofluoroscopy swallowing study (VFSS). Physical, neurologic, and laboratory evaluations revealed no abnormal findings. Radiologic evaluation looking for any abnormalities that might provoke dysphagia was within normal limits. VFSS showed laryngeal aspiration, residue in vallecular and pyriform sinuses, and cricopharyngeal narrowing. Balloon catheter dilatation under endoscopic guidance was performed twice, after which, the dysphagia improved. Here, we describe the results of treatment with balloon dilatation in a patient with primary cricopharyngeal dysfunction.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Relaxation
/
Deglutition Disorders
/
Compliance
/
Deglutition
/
Esophageal Sphincter, Upper
/
Dilatation
/
Pyriform Sinus
/
Catheters
Type of study:
Practice guideline
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Geriatrics Society
Year:
2009
Type:
Article
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