FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3208144638> ?p ?o ?g. }

• W3208144638 endingPage "S184" @default.
• W3208144638 startingPage "S183" @default.
• W3208144638 abstract "Introduction: Upper endoscopy (EGD) is an effective tool in the initial evaluation of patients >40 years old presenting with dysphagia and concomitant heartburn, odynophagia, and weight loss. However, it can miss subtle esophageal strictures, motility disorders, and extrinsic abnormalities which may be diagnosed with barium swallow study, or esophagram. In this study, we assessed the utility of barium swallow exam in patients presenting with dysphagia who had a grossly normal EGD. Methods: A retrospective analysis was conducted at a tertiary hospital from January 2018 through March 2019. Patients presenting with dysphagia who underwent both an EGD and barium swallow study with a 13mm pill (either before or after EGD) were included. Patients with an abnormal EGD were excluded. We analyzed esophagram results in patients who had a grossly normal EGD, and data was examined with univariate analysis. Results: 67 total patients underwent both an EGD and barium swallow study, of which 27 had a grossly normal EGD. The mean age (SD) of our study population (N=27) was 56.1 years (15.5), with 16 males. Of the 27 patients, 9 (33.3%) had a normal barium swallow exam while 18 (66.7%) patients had an abnormal exam. 7 patients had findings consistent with oropharyngeal dysphagia, 7 revealed structural issues manifested by difficulty of passage of a 13mm pill suggesting gastroesophageal junction obstruction, 2 showed esophageal dysmotility characterized by tertiary contractions, and 2 patients were found to have gastroesophageal reflux disease on esophagram. Of note, 8 out of 27 patients underwent esophageal biopsies, of which 6 showed normal histology, however 3 of those patients were found to have structural abnormalities on esophagram. Esophageal biopsies were not taken in 19/27 patients, of whom 14 had abnormal findings on barium swallow study. Conclusion: Per ASGE guidelines, EGD is considered first-line for evaluation of dysphagia unless contraindicated. Barium swallow with a 13mm pill is another valuable diagnostic modality especially in patients with a normal EGD. Our study showed that barium swallow identified potential etiologies of dysphagia in 66.7% of patients with grossly normal EGD, which led to further work-up and/or treatment. We discovered structural abnormalities on barium swallow in 50% of patients with grossly and histologically normal EGD. Esophagram proved to be a helpful adjunct to EGD with biopsy in evaluating dysphagic patients, emphasizing its importance as a part of the diagnostic algorithm.Table 1.: Patient Demographics and Barium Swallow Study Results (N=27)" @default.
• W3208144638 created "2021-11-08" @default.
• W3208144638 creator A5011086791 @default.
• W3208144638 creator A5014653567 @default.
• W3208144638 creator A5018943176 @default.
• W3208144638 creator A5050200981 @default.
• W3208144638 creator A5051559891 @default.
• W3208144638 creator A5058668868 @default.
• W3208144638 creator A5070059082 @default.
• W3208144638 creator A5090738246 @default.
• W3208144638 date "2021-10-01" @default.
• W3208144638 modified "2023-09-23" @default.
• W3208144638 title "S414 A Retrospective Review: Are We Under-Utilizing Barium Swallow Studies After a Normal EGD in Patients with Dysphagia?" @default.
• W3208144638 doi "https://doi.org/10.14309/01.ajg.0000774128.75282.64" @default.
• W3208144638 hasPublicationYear "2021" @default.
• W3208144638 type Work @default.
• W3208144638 sameAs 3208144638 @default.
• W3208144638 citedByCount "0" @default.
• W3208144638 crossrefType "journal-article" @default.
• W3208144638 hasAuthorship W3208144638A5011086791 @default.
• W3208144638 hasAuthorship W3208144638A5014653567 @default.
• W3208144638 hasAuthorship W3208144638A5018943176 @default.
• W3208144638 hasAuthorship W3208144638A5050200981 @default.
• W3208144638 hasAuthorship W3208144638A5051559891 @default.
• W3208144638 hasAuthorship W3208144638A5058668868 @default.
• W3208144638 hasAuthorship W3208144638A5070059082 @default.
• W3208144638 hasAuthorship W3208144638A5090738246 @default.
• W3208144638 hasBestOaLocation W32081446381 @default.
• W3208144638 hasConcept C126322002 @default.
• W3208144638 hasConcept C141071460 @default.
• W3208144638 hasConcept C167135981 @default.
• W3208144638 hasConcept C2776462128 @default.
• W3208144638 hasConcept C2776980227 @default.
• W3208144638 hasConcept C2778451229 @default.
• W3208144638 hasConcept C2779134260 @default.
• W3208144638 hasConcept C2780596822 @default.
• W3208144638 hasConcept C2781143854 @default.
• W3208144638 hasConcept C2994597262 @default.
• W3208144638 hasConcept C43270747 @default.
• W3208144638 hasConcept C71924100 @default.
• W3208144638 hasConcept C90924648 @default.
• W3208144638 hasConceptScore W3208144638C126322002 @default.
• W3208144638 hasConceptScore W3208144638C141071460 @default.
• W3208144638 hasConceptScore W3208144638C167135981 @default.
• W3208144638 hasConceptScore W3208144638C2776462128 @default.
• W3208144638 hasConceptScore W3208144638C2776980227 @default.
• W3208144638 hasConceptScore W3208144638C2778451229 @default.
• W3208144638 hasConceptScore W3208144638C2779134260 @default.
• W3208144638 hasConceptScore W3208144638C2780596822 @default.
• W3208144638 hasConceptScore W3208144638C2781143854 @default.
• W3208144638 hasConceptScore W3208144638C2994597262 @default.
• W3208144638 hasConceptScore W3208144638C43270747 @default.
• W3208144638 hasConceptScore W3208144638C71924100 @default.
• W3208144638 hasConceptScore W3208144638C90924648 @default.
• W3208144638 hasIssue "1" @default.
• W3208144638 hasLocation W32081446381 @default.
• W3208144638 hasLocation W32081446382 @default.
• W3208144638 hasOpenAccess W3208144638 @default.
• W3208144638 hasPrimaryLocation W32081446381 @default.
• W3208144638 hasRelatedWork W1993764123 @default.
• W3208144638 hasRelatedWork W1995809182 @default.
• W3208144638 hasRelatedWork W2012330965 @default.
• W3208144638 hasRelatedWork W2046710643 @default.
• W3208144638 hasRelatedWork W205912238 @default.
• W3208144638 hasRelatedWork W2090830113 @default.
• W3208144638 hasRelatedWork W2182491916 @default.
• W3208144638 hasRelatedWork W2215857001 @default.
• W3208144638 hasRelatedWork W3168981063 @default.
• W3208144638 hasRelatedWork W38802602 @default.
• W3208144638 hasVolume "116" @default.
• W3208144638 isParatext "false" @default.
• W3208144638 isRetracted "false" @default.
• W3208144638 magId "3208144638" @default.
• W3208144638 workType "article" @default.