Protocolo diagnóstico de la disfagia

  1. San Bruno, A. 1
  2. Domínguez Muñoz, J.E. 1
  1. 1 Servicio de Aparato Digestivo, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2020

Issue Title: Enfermedades del aparato digestivo (VII)Enfermedades del esófago

Series: 13

Issue: 7

Pages: 405-408

Type: Article

DOI: 10.1016/J.MED.2020.05.006 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Sustainable development goals

Abstract

Dysphagia is a common symptom in standard clinical practice, appearing in all age ranges and from numerous causes. There are types of dysphagia according to its origin (oropharyngeal dysphagia and oesophageal dysphagia), each with a different clinical presentation and accompanying symptoms that help with the differential diagnosis. The medical history is essential for directing the diagnosis of dysphagia, because a proper anamnesis helps suggest the aetiology in most cases. Upper gastrointestinal endoscopy should be the first complementary test for most patients, especially when a mechanical cause is suspected, including malignant lesions. If the results of the endoscopy are negative, other diagnostic tests can be performed, such as barium oesophagography and high-resolution oesophageal manometry, depending on the suspected diagnosis.

Bibliographic References

  • Abdel Jalil AA, Katzka DA, Castell DO. Approach to the patient with dysphagia. Am J Med. 2015;128(10):1138.
  • Malagelada JR, Bazzoli F, Boeckxstaens G, de Looze D, Fried M, Kahrilas P, et al. World gastroenterology organisation global guidelines: dysphagia-global guidelines and cascades update September 2014. J Clin Gastroenterol. 2015;49(5):370-8.
  • Kim JP, Kahrilas PJ. How to aproach dysphagia. Curr Gastroenterol Rep. 2019;21:49.
  • Philpott H, Garg M, Tomic D, Balasubramanian S, Sweis R, et al. Dysphagia: thinking outside the box. World J Gastroenterol. 2017;23(38): 6942-51.
  • Rommel N, Hamdy S. Oropharyngeal dysphagia: manifestations and diagnosis. Nat Rev Gastroenterol Hepatol. 2016;13(1):49-59.
  • Johnston BT. Oesophageal dysphagia: a stepwise approach to diagnosis and management. Lancet Gastroenterol Hepatol. 2017;2(8):604-9.