Role of flexible transnasal esophagoscopy and patient education in the management of globus pharyngeus

Chia Chi Cheng, Tuan Jen Fang, Ta Jen Lee, Li Ang Lee, Tsung-Ming Chen, Chin Kuo Chen, Albert Re-Ming Yeh, Hao Chun Huang, Han Ren Hsiao, Wanni Lin, Ying Ling Kuo, Hseuh Yu Li

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7 Citations (Scopus)

Abstract

Background/Purpose: 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). Conclusion: The use of TNE and patient education are efficient management strategies for patients with symptoms of globus pharyngeus and dysphagia.

Original languageEnglish
Pages (from-to)171-175
Number of pages5
JournalJournal of the Formosan Medical Association
Volume111
Issue number3
DOIs
Publication statusPublished - Mar 1 2012

Keywords

  • Flexible transnasal esophagoscopy
  • Globus pharyngeus
  • Patient education

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Cheng, C. C., Fang, T. J., Lee, T. J., Lee, L. A., Chen, T-M., Chen, C. K., Re-Ming Yeh, A., Huang, H. C., Hsiao, H. R., Lin, W., Kuo, Y. L., & Li, H. Y. (2012). Role of flexible transnasal esophagoscopy and patient education in the management of globus pharyngeus. Journal of the Formosan Medical Association, 111(3), 171-175. https://doi.org/10.1016/j.jfma.2011.02.003