ASGE Recognized Industry Associate (ARIA) Training Program for Regeneron and Sanofi | August 2024-Case Discussion

Case Discussion_Adult Patient with Dysphagia

Pdf Summary

The document discusses two case presentations of patients experiencing dysphagia. In Case 1, a 56-year-old male with difficulty swallowing is referred and shows symptoms of food sticking in the chest, weight loss, and a history of smoking. Possible causes include malignancy, peptic stricture, and eosinophilic esophagitis. Recommendations for further care involve tests like a Chest CT scan or Barium swallow. An EGD reveals adenocarcinoma, leading to discussions on esophageal cancers, their risk factors, symptoms, diagnosis, and treatment.<br /><br />In Case 2, a 34-year-old male with sudden swallowing difficulty presents with occasional slow food transit in the chest. Possible causes identified include eosinophilic esophagitis, Schatzki's ring, and motility disorders. Diagnostic recommendations include tests like an EGD and biopsy. Treatment options involve esophageal dilation, proton pump inhibitors, or budesonide suspension. The document also touches upon the evaluation methods for dysphagia, treatment paradigms for esophageal cancer, and management strategies for conditions like EoE and achalasia.<br /><br />In Case 3, a 50-year-old female with progressive dysphagia is evaluated, but biopsies reveal no abnormalities. Further steps involve considering esophageal dilation or a proton pump inhibitor trial. Additionally, the document discusses achalasia treatment options like Botox injections and procedures such as pneumatic dilation or myotomy. The importance of a thorough history, evaluation tools like endoscopy and manometry, and factors influencing treatment decisions are highlighted throughout the document.

Keywords

dysphagia

esophageal cancer

eosinophilic esophagitis

achalasia

endoscopy

motility disorders

proton pump inhibitors

esophageal dilation

diagnosis

treatment