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Upper gastrointestinal endoscopy with normal appearing mucosa. www.elsevier.pt
In a recent paper by author Dr Marwa A. Saad, the commonest causes of esophageal dysphagia were evaluated in a sample of Egyptian population at different age groups of both genders using upper gastrointestinal endoscopy.
"Dysphagia is a common problem seen in in-patient as well as out-patient settings which prompt proper evaluation" Dr. Marwa said.
In the paper, upper GI endoscopy was performed to the participants in order to diagnose the cause of their dysphagia, and biopsies were taken from suspicious lesions as indicated to be examined by an expert histo-pathologist. The common causes of esophageal dysphagia in decreasing frequency were; Reflux esophagitis, Esophageal stricture, Esophageal cancer, and normal endoscopic findings. Esophgeal cancer was by far the commonest cause in elderly population. Actually the author did not detect a statistical significant difference between women and men regarding these findings. Also these findings were correlated positively with the duration of dysphagia.Other known causes of esophageal dysphagia as, achalasia of the esophagus, hiatal hernia, esinophilic esophagitis, esophageal rings/webs, diffuse esophageal spasm were less common as noted by the author.
Dr Marwa suggests that upper GI endoscopy should be considered in the evaluation of dysphagia, and by keeping the previous findings in mind, Reflux esophagitis and esophageal strictures secondary to gastro-esophageal reflux disease, should be considered as important causes of dysphagia in Egyptian population which mandates proper management. Esophageal dysphagia in elderly should be attract clinicians’ attention as it may herald an underlying catastrophic pathology; esophageal cancer.
Dr. Marwa A. Saad, lecturer of internal medicine, Internal medicine department, Geriatric unit, Faculty of medicine, Alexandria University.
Dr. Ahmed I. AL-Lakani, lecturer of internal medicine, Internal medicine department, Gastroenterology unit, Faculty of medicine, Alexandria University.
Research, Alexandria, Egypt.
A paper about the study appeared recently in American Journal of internal medicine.