[Globus pharyngis: indications for flexible endoscopy?].
Flexible endoscopy of the upper gastrointestinal tract usually does not form part of the primary diagnostic evaluation of the globus syndrome. In order to find out the value of this investigation in the differential diagnosis of globus sensation, 51 globus patients were examined by flexible endoscopy of the upper gastrointestinal tract. Pathological findings requiring therapy were diagnosed in 70.6% of cases. The most frequent findings were reflux esophagitis (n = 24; 47%) and hiatal hernia (n = 25; 49%). In 16 cases (31.4%) these were accompanied by other pathological lesions. A total of 32 patients (62.7%) suffered from esophageal diseases as sole etiological factors of the globus syndrome, which allowed us to postulate a causative relationship in these cases. Flexible endoscopy, therefore, can contribute significantly to the differential diagnosis of the globus syndrome. The investigator should consider the potentially high diagnostic "yield" of flexible endoscopy for this indication, also.
Lorenz
R
R
II. Medizinische Klinik und Poliklinik, Technischen Universität München, Klinikum rechts der Isar.
Classen
M
M
D000328:Adult; D000368:Aged; D001706:Biopsy; D003680:Deglutition Disorders / Q000209:etiology* / Q000473:pathology; D003937:Diagnosis, Differential; D020776:Endoscopes, Gastrointestinal; D004942:Esophagitis, Peptic / Q000150:complications* / Q000473:pathology; D004947:Esophagus / Q000473:pathology; D005260:Female; D006551:Hernia, Hiatal / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged
Globus pharyngis: Indikation zur flexiblen Endoskopie?