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Dysphagia

Plummer-Vinson syndrome following gastric bypass surgery

September 18, 2014  |  Andrew Sapthavee, MD; Matthew L. Kircher, MD; Lee M. Akst, MD

Abstract

Plummer-Vinson syndrome (PVS) is the combination of dysphagia, angular cheilitis, atrophic glossitis, and esophageal webbing in the setting of iron deficiency anemia. Although it is relatively uncommon, this condition is important to recognize because it is a source of...

Actinomycosis of the pharynx

September 18, 2014  |  Anna M. Lipowska, MD; Michael M. Johns III, MD

Abstract

Few cases of pharyngeal actinomycosis have been documented in the literature. We describe the case of a 67-year-old white man who presented with symptoms of dysphagia. Laryngoscopy revealed a pedunculated mass in the left posterior pharyngeal wall; an excisional biopsy...

Neopharyngeal diverticulum

August 28, 2014  |  Rebecca J. Howell, MD; Gregory N. Postma, MD

Endoscopic examination showed no distal stricture or cricopharyngeus muscle.

Madelung disease: Multiple symmetric lipomatosis

March 19, 2014  |  Enrique Palacios, MD, FACR; Harold R. Neitzschman, MD, FACR; Jeremy Nguyen, MD

Patients with multiple symmetric lipomatosis commonly also suffer from various neuropathies, especially paresthesias and autonomic neuropathy.

Lung herniation: An unusual cause of dysphagia

December 20, 2013  |  Karen Mason, MBBS, MRCS, FRCR; Richard D. Riordan, MBBS, BSC, MRCP, FRCR

Abstract

Lung herniation is a rare condition that can be classified on the basis of location and etiology. We report an unusual case of right apical lung herniation presenting with dysphagia. Computed tomography of the neck demonstrated an air-containing structure in the root of the...

Autoimmune swallowing disorders

December 20, 2013  |  Mursalin M. Anis, MD, PhD; Ahmed M.S. Soliman, MD

Esophageal perforation in a patient with diverticulum following anterior discectomy and fusion

October 24, 2013  |  Aasif A. Kazi, PharmD; Nancy L. Solowski, MD; Gregory N. Postma, MD; Paul M. Weinberger, MD

 Most perforations are thought to result from esophageal retraction, direct injury during manipulation, hardware failure, or movement of cervical vertebral bodies during hyperextension.

Late-onset complications after chemoradiation for head and neck carcinomas

August 22, 2013  |  Marc I. Surkin, MD, FACS; Sandra A. Schwartz, MS, CCC-SLP; and Deborah A. Markiewicz, MD

Abstract

Acute complications from chemoradiation for head and neck cancers are relatively common. These can be minor or severe and can have a significant impact on the patient's quality of life. The incidence of late-onset (>5 years after cancer cure) complications is unknown, but...

Systemic sclerosis and reflux

April 18, 2013  |  John J. Petronovich, BS; Jonathan M. Bock, MD

MII-pH testing with impedance-based symptom association may improve diagnostic accuracy in patients with systemic sclerosis and reflux.

Esophageal graft-versus-host disease

February 25, 2013  |  Jeanne L. Hatcher, MD; S. Carter Wright, MD; Catherine Rees Lintzenich, MD, FACS

Graft-versus-host disease occurs after allogeneic hematopoietic-cell transplantation, with the chronic form usually occurring within the first 3 years.

Hyperplastic epiglottis caused by chronic inflammation

January 24, 2013  |  Mark D. Wilkie, MBChB; Samuel C. Leong, MPhil; Alessandro Panarese, FRCS; Arnab Banerjee, FRCS

Due to the development of Hib vaccines, the epidemiology of epiglottitis has shifted dramatically back toward adult presentations, with a marked decline in the incidence among children.

Hypoglossal nerve tumor: A rare primary extracranial meningioma of the neck

November 1, 2012  |  Abu Bakar Zulkiflee, MS; Narayanan Prepageran, FRCS; Omar Rahmat, MS; Pailoor Jayalaskhmi, MPath, FRCPath; Tengku Sharizal, MS

Abstract

We report a case of primary extracranial meningioma arising from the hypoglossal nerve in a 54-year-old man who presented with a 9-month history of hoarseness and progressive dysphagia. He had also noticed that his tongue was deviated to the left and, as a result, he was having...

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