title: DISH syndrome and its role in dysphagia.
abstract: The diagnosis and treatment of osteophyte-induced dysphagia can be both challenging and frustrating. DISH is a common finding in the adult population and, like the complaint of dysphagia, increases with age. Clearly, it is a small percentage of cervical osteophytes that present upper aerodigestive difficulties. After excluding other causes of dysphagia, conservative treatment is indicated in the initial management of this disorder and should relieve symptoms in the majority of patients. Surgical management should be reserved for severe and recalcitrant symptoms, and the patient must understand that surgery does not guarantee complete resolution of symptoms. Special thanks to Jerry Basto for his assistance in manuscript preparation.
authors.affiliation: Department of Surgery, Stanford University Medical Center, CA.
authors.forename: S T
authors.initials: ST
authors.lastname: Kmucha
authors.forename: R B
authors.initials: RB
authors.lastname: Cravens
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001466:Barium Sulfate; D002933:Cineradiography; D003680:Deglutition Disorders / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008787:Metoclopramide / Q000627:therapeutic use; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D000305:Adrenal Cortex Hormones; D000894:Anti-Inflammatory Agents, Non-Steroidal; D001466:Barium Sulfate; D008787:Metoclopramide