Abstract
Swallowing problems may be due to an abnormal transportation of food and drinks from the mouth to the stomach. The esophagram aims to monitor this and to reveal abnormalities in the morphodynamic process. It is important to analyze the patient’s symptom before the examination in order to custom-tailor the radiologic approach and to be able to explain the patients symptoms. Lower motor-neuron disease causes a global weakness in the pharyngeal musculature with lack of elevation of the pharynx during swallowing. This may cause major aspiration. Upper motor neuron disease affects the oral stage as well as an incoordination in the pharyngeal stage.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Jones B, Donner MW. Examination of the patient with dysphagia. Radiology. 1988;167:319–26.
Hannig C, Wuttge-Hannig A, Hess U. Analysis and radiological staging of the type and degree of severity in aspiration. Radiologe. 1995;35:741.
Jones B. The tailored examination. In: Jones B, editor. Normal and abnormal swallowing. Imaging in diagnosis and therapy. 2nd ed. New York: Springer; 2003. p. 35–53.
Castell DO. Overview and symptom assessment. In: Castell DO, editor. The esophagus. Boston: Little, Brown & Co.; 1992. p. 29–39.
Scharitzer M, Otto F, Wagner-Menghin M, Pokieser P, Ekberg O. Taking the history in patients with swallowing disorders: an international multidisciplinary survey. Abdom Radiol. 2017;42(3):786–93. doi:10.1007/s00261-016-0931-4.
Mahesh M, Gayler BW, Beck TJ. Radiation in videorecorded fluoroscopy. In: Jones B, editor. Normal and abnormal swallowing. Imaging in diagnosis and therapy. 2nd ed. New York: Springer; 2003. p. 1–9.
Morishima Y, Chida K, Watanabe H. Estimation of the dose of radiation received by patient and physician during a videofluoroscopic swallowing study. Dysphagia. 2016;31:574–8.
Logemann JA, Larsen K. Radiographic evaluation of the oral/preparatory and pharyngeal phases of swallowing including the UES: comprehensive modified barium swallow studies. In: Shaker R, et al., editors. Manual of diagnostic and therapeutic techniques for disorders of deglutition. New York: Springer; 2013. p. 33–47.
Buchholz DW, Bosma JF, Donner MW. Adaptation, compensation, ad decompensation of the pharyngeal swallow. Gastrointest Radiol. 1985;10:235–9.
Pokieser P, Scharitzer M. The clinical and radiological approach to dysphagia. In: Ekberg O, editor. Dysphagia Diagnosis and treatment. Berlin: Springer; 2012. p. 201–35.
Ekberg O. Imaging techniques and some principles of interpretation (including radiation physics). In: Ekberg O, editor. Dysphagia. Diagnosis and treatment. Berlin: Springer; 2012. p. 237–51.
Martin-Harris B. Standardized training in swallowing physiology. Evidence-based assessment using the modified barium swallow impairment profile (MBSImP™) approach. Gaylord, MI: Northern Speech Services; 2015.
Bülow M. Psychogenic dysphagia. In: Jones HN, Rosenbek JC, editors. Dysphagia in rare conditions. San Diego: Plural Publishers; 2010. p. 499–503.
Bock JM, Knabel MJ, Lew DA, Knechtges PM, Gould JC, Massey BT. Clinical conundrum: Killian-Jamieson diverticulum with paraesophageal hernia. Dysphagia. 2016;31:587–91.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Ekberg, O., Pokieser, P., Scharitzer, M. (2018). Radiologic Evaluation of Swallowing: The Esophagram. In: Bardan, E., Shaker, R. (eds) Gastrointestinal Motility Disorders . Springer, Cham. https://doi.org/10.1007/978-3-319-59352-4_19
Download citation
DOI: https://doi.org/10.1007/978-3-319-59352-4_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-59350-0
Online ISBN: 978-3-319-59352-4
eBook Packages: MedicineMedicine (R0)