Characteristics of Patients With Esophageal Dysphagia Assessed by Chest X-Ray Imaging After Videofluoroscopic Swallowing Study
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective To evaluate the prevalence rate, types, characteristics, and associated factors of esophageal dysphagia detected on chest X-ray images after videofluoroscopic swallowing study (VFSS). Methods The medical records of 535 adults were reviewed retrospectively. Chest X-ray images taken after barium swallow study were analyzed and presence of any residual barium in the esophagus was considered as esophageal dysphagia. Esophageal dysphagia was classified based on the largest width of barium deposit (mild, <2 cm; severe ≥2 cm) and the anatomic level at which it was located (upper and lower esophagus). Results Esophageal residual barium on chest X-ray images was identified in 40 patients (7.5%, 40/535). Esophageal dysphagia was more frequent in individuals aged 65–79 years (odds ratio=4.78, p<0.05) than in those aged <65 years. Mild esophageal dysphagia was more frequent (n=32) than its severe form (n=8). Lower esophageal dysphagia was more frequent (n=31) than upper esophageal dysphagia (n=9). Esophageal residual barium in patients diagnosed with esophageal cancer or lung cancer was significantly associated with severe esophageal dysphagia (p<0.05) and at the upper esophagus level (p<0.01). Conclusion Esophageal residual barium was observed on chest X-ray imaging after VFSS. Esophageal barium in the upper esophagus with a diameter of ≥2 cm is an important indicator of malignancy, and chest X-ray image taken after VFSS is an important step to evaluate the presence of esophageal disorder.
Abstract
Objective To evaluate the prevalence rate, types, characteristics, and associated factors of esophageal dysphagia detected on chest X-ray images after videofluoroscopic swallowing study (VFSS). Methods The medical records of 535 adults were reviewed retrospectively. Chest X-ray images taken after barium swallow study were analyzed and presence of any residual barium in the esophagus was considered as esophageal dysphagia. Esophageal dysphagia was classified based on the largest width of barium deposit (mild, <2 cm; severe ≥2 cm) and the anatomic level at which it was located (upper and lower esophagus). Results Esophageal residual barium on chest X-ray images was identified in 40 patients (7.5%, 40/535). Esophageal dysphagia was more frequent in individuals aged 65–79 years (odds ratio=4.78, p<0.05) than in those aged <65 years. Mild esophageal dysphagia was more frequent (n=32) than its severe form (n=8). Lower esophageal dysphagia was more frequent (n=31) than upper esophageal dysphagia (n=9). Esophageal residual barium in patients diagnosed with esophageal cancer or lung cancer was significantly associated with severe esophageal dysphagia (p<0.05) and at the upper esophagus level (p<0.01). Conclusion Esophageal residual barium was observed on chest X-ray imaging after VFSS. Esophageal barium in the upper esophagus with a diameter of ≥2 cm is an important indicator of malignancy, and chest X-ray image taken after VFSS is an important step to evaluate the presence of esophageal disorder.
참고문헌 (33)
- Chilukuri P, "Dysphagia", Mo Med, 115, pp.206~210 (2018)
- Kruger D, "Assessing esophageal dysphagia", JAAPA, 27, pp.23~30 (2014)
- Triadafilopoulos G, "Oropharyngeal and esophageal interrelationships in patients with nonobstructive dysphagia", Dig Dis Sci, 37, pp.551~557 (1992)
- Mendell DA, "A retrospective analysis of the pharyngeal swallow in patients with a clinical diagnosis of GERD compared with normal controls : a pilot study", Dysphagia, 17, pp.220~226 (2002)
- Jones B, "Pharyngeal findings in 21 patients with achalasia of the esophagus", Dysphagia, 2, pp.87~92 (1987)
- Martin RE, "Oropharyngeal dysphagia in esophageal cancer before and after transhiatal esophagectomy", Dysphagia, 16, pp.23~31 (2001)
- Smith DF, "Lower esophageal mucosal ring : correlation of referred symptoms with radiographic findings using a marshmallow bolus", AJR Am J Roentgenol, 171, pp.1361~1365 (1998)
- Han TR, "The safety of videofluoroscopic swallowing study(VFSS)", J Korean Acad Rehabil Med, 24, pp.215~218 (2000)
- Kostic SV, "Timed barium esophagogram : a simple physiologic assessment for achalasia", J Thorac Cardiovasc Surg, 120, pp.935~943 (2000)
- Levine MS, "Barium esophagography : a study for all seasons", Clin Gastroenterol Hepatol, 6, pp.11~25 (2008)
- Lawal A, "Esophageal dysphagia", Phys Med Rehabil Clin N Am, 19, pp.729~745 (2008)
- Miles A, "Esophageal visualization as an adjunct to the videofluoroscopic study of swallowing", Otolaryngol Head Neck Surg, 152, pp.488~493 (2015)
- Watts S, "Improving the diagnostic capability of the modified barium swallow study through standardization of an esophageal sweep protocol", Dysphagia, 34, pp.34~42 (2019)
- Kostic S, "Timed barium esophagogram in the assessment of patients with achalasia : reproducibility and observer variation", Dis Esophagus, 18, pp.96~103 (2005)
- "Esophagus-anatomy and development" (2006)[URL]
- Chikwe J, "Esophagus. Cardiothoracic surgery" (2013), Oxford University Press
- Thorek P, "Anatomy in surgery", pp.418~513 (1985), Springer
- Skandalakis JE, "Surgical anatomy and technique: a pocket manual" (2000), Springer
- Khan TA, "Esophageal motility in the elderly", Am J Dig Dis, 22, pp.1049~1054 (1977)
- Lee J, "Effects of age on the gastroesophageal junction, esophageal motility, and reflux disease", Clin Gastroenterol Hepatol, 5, pp.1392~1398 (2007)
- 심영광, "Effects of Age on Esophageal Motility: Use of High-resolution Esophageal Impedance Manometry", Journal of Neurogastroenterology and Motility (JNM), 23(2), pp.229~236 (2017), 대한소화기 기능성질환∙운동학회[DOI]
- Gutschow CA, "Effect of aging on esophageal motility in patients with and without GERD", Ger Med Sci, 9, pp.Doc22~ (2011)
- Andrews JM, "Is esophageal dysphagia in the extreme elderly(>or=80 years)different to dysphagia younger adults? A clinical motility service audit", Dis Esophagus, 21, pp.656~659 (2008)
- "Cancer fact sheets" (2018)[URL]
- Pennathur A, "Oesophageal carcinoma", Lancet, 381, pp.400~412 (2013)
- Napier KJ, "Esophageal cancer : a review of epidemiology, pathogenesis, staging workup and treatment modalities", World J Gastrointest Oncol, 6, pp.112~120 (2014)
- Abbas G, "Overview of esophageal cancer", Ann Cardiothorac Surg, 6, pp.131~136 (2017)
- Shin A, "Trends in incidence and survival of esophageal cancer in Korea : analysis of the Korea Central Cancer Registry Database", J Gastroenterol Hepatol, 33, pp.1961~1968 (2018)
- Makker HK, "Dysphagia due to secondary achalasia as an early manifestation of squamous cell carcinoma", Postgrad Med J, 71, pp.502~504 (1995)
- Camidge DR, "The causes of dysphagia in carcinoma of the lung", J R Soc Med, 94, pp.567~572 (2001)
- Zafar Neyaz, "How to Perform and Interpret Timed Barium Esophagogram", Journal of Neurogastroenterology and Motility (JNM), 19(2), pp.251~256 (2013), 대한소화기 기능성질환∙운동학회
- Gray C, "Aspiration of high-density barium contrast medium causing acute pulmonary inflammation--report of two fatal cases in elderly women with disordered swallowing", Clin Radiol, 40, pp.397~400 (1989)
- Katsanoulas C, "Severe barium sulphate aspiration : a report of two cases and review of the literature", Signa Vitae, 2, pp.25~28 (2007)