Radiological investigation of dysphagia at D. H. Q. teaching hospital D. I. Khan.

Abstract

BACKGROUND:

Dysphagia is a common presenting symptom. In most of the cases with established dysphagia extensive investigations are required to ascertain the cause. A number of advanced diagnostic radiological facilities are available at bigger centers, however conventional radiography is the mainstay of radiologist in less equipped centers. This study was conducted to have a critical review of diagnostic accuracy of conventional radiography at our center.

METHODS:

This study was conducted at Radiology department of DHQ teaching hospital, Dera Ismail Khan from 01-01-2001 to 30-06-2002. Available methods of conventional radiography including plain radiography neck, lateral view in extension, x-ray Chest P.A. and lateral views, Barium/Gastro-grafin swallow-AP and lateral views were used for the diagnosis.

RESULTS:

Out of 100 cases, 35 patients were of Esophageal growth, 1 case of Esophageal Web, 4 cases of Esophageal Diverticula, 1 case of Corrosive Stricture, 1 case of Transverse colon-replacement surgery, 5 cases of Extrinsic compression by Cardio-megaly, 1 case of Esophageal Diverticula with growth, 2 cases of Retropharyngeal abscess, 5 cases of Achalasia, 2 cases of Hiatus hernia/gastro-Esophageal reflux, 4 cases of Foreign Bodies in the Esophagus-Coins/Fish bone, 2 cases of Marked Osteophytosis in the Cervical/Thoracic Spine and 1 case of Esophageal Atresia with Tracheo-Esophageal Fistula. The diagnosis was no radiological abnormality in 36 cases.

CONCLUSIONS:

Diagnoses by conventional radiography methods is possible in most cases of dysphagia at our center, however advanced facilities are required for inconclusive cases.

• Authors: Muhammad Asghar
• Journal: Journal of Ayub Medical College, Abbottabad : JAMC (J Ayub Med Coll Abbottabad) 2004 Apr-Jun Vol. 16 Issue 2 Pg. 70-2 ISSN: 1025-9589 [Print] Pakistan
• PMID: 15455623 (Publication Type: Journal Article)

Topics

• Deglutition Disorders (diagnostic imaging, etiology)
• Hospitals, Teaching
• Humans
• Pakistan
• Radiography
• Reproducibility of Results