title: Role of flexible transnasal esophagoscopy and patient education in the management of globus pharyngeus.
abstract: OBJECTIVE
  Globus pharyngeus and dysphagia are common complaints of patients referred to ear, nose, and throat (ENT) clinics. We aimed to establish an efficient method to rule out the presence of malignancy in patients with globus pharyngeus and dysphagia.
  
  
  METHODS
  The use of flexible transnasal esophagoscopy (TNE) was evaluated in 30 patients with globus pharyngeus and 6 patients with dysphagia. The patients were immediately informed of the findings on TNE examination, and then treatments were planned. All patients were treated with lansoprazole for 2 weeks and provided education on lifestyle changes at the initial examination and at the 3-month follow-up.
  
  
  RESULTS
  The patients reported an improvement in symptoms of globus pharyngeus after treatment (p<0.001). Follow-up TNE confirmed improvement with less dysphagia, erythema, and vocal cord edema evident (all p<0.001).
  
  
  CONCLUSIONS
  The use of TNE and patient education are efficient management strategies for patients with symptoms of globus pharyngeus and dysphagia.
authors.affiliation: The Department of Otolaryngology, Chang Gung Memorial Hospital, Taipei, Taiwan.
authors.forename: Chia-Chi
authors.initials: CC
authors.lastname: Cheng
authors.forename: Tuan-Jen
authors.initials: TJ
authors.lastname: Fang
authors.forename: Ta-Jen
authors.initials: TJ
authors.lastname: Lee
authors.forename: Li-Ang
authors.initials: LA
authors.lastname: Lee
authors.forename: Tsung-Ming
authors.initials: TM
authors.lastname: Chen
authors.forename: Chin-Kuo
authors.initials: CK
authors.lastname: Chen
authors.forename: Albert Re-Ming
authors.initials: AR
authors.lastname: Yeh
authors.forename: Hao-Chun
authors.initials: HC
authors.lastname: Huang
authors.forename: Han-Ren
authors.initials: HR
authors.lastname: Hsiao
authors.forename: Wanni
authors.initials: W
authors.lastname: Lin
authors.forename: Ying-Ling
authors.initials: YL
authors.lastname: Kuo
authors.forename: Hseuh-Yu
authors.initials: HY
authors.lastname: Li
mesh_terms: D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D003680:Deglutition Disorders / Q000628:therapy; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D064747:Lansoprazole; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010608:Pharyngeal Diseases / Q000628:therapy*; D054328:Proton Pump Inhibitors / Q000627:therapeutic use
chemical_list: D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D054328:Proton Pump Inhibitors; D064747:Lansoprazole