title: Diffuse Idiopathic Skeletal Hyperostosis (DISH)-A Rare Etiology of Dysphagia.
abstract: A 72-year-old gentleman presented to the hospital with progressively worsening dysphagia to soft foods and liquids. He was diagnosed with severe pharyngeal dysphagia by modified barium swallow. A CT scan of the neck with IV contrast showed anterior flowing of bridging osteophytes from C3-C6, indicative of DISH, resulting in esophageal impingement. He underwent resection of the DISH segments. Following the surgery, a PEG tube for nutrition supplementation was placed. However, the PEG tube was removed after five months when the speech and swallow evaluation showed no residual dysphagia. DISH is a rare non-inflammatory condition that results in pathological ossification and calcification of the anterolateral spinal ligaments.
authors.affiliation: Staten Island University Hospital, Staten Island, NY, USA.
authors.forename: Balakumar
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authors.lastname: Krishnarasa
authors.forename: Abhirami
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authors.lastname: Vivekanandarajah
authors.forename: Lucinda
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authors.lastname: Ripoll
authors.forename: Edwin
authors.initials: E
authors.lastname: Chang
authors.forename: Robert
authors.initials: R
authors.lastname: Wetz
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