Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-26T02:06:08.576Z Has data issue: false hasContentIssue false

Rigid endoscopy in ENT practice

Appraisal of the diagnostic yield in a district general hospital

Published online by Cambridge University Press:  29 June 2007

Janet A. Wilson*
Affiliation:
Edinburgh
J. A. M. Murray
Affiliation:
Edinburgh
N. P. von Haacke
Affiliation:
Edinburgh
*
Department of Otolaryngology, Level 4, Phase I, The Royal Infirmary, Edinburgh, EH3 9YW.

Abstract

Summary

A 10-year retrospective survey of 204 elective rigid oesophagoscopic examinations in the ENT unit of a District General Hospital is reported. One Hundred and Forty Five (71 per cent) were normal and there was marked preponderance of normal endoscopy in patients under 60 years old. Clinical examination was usually unhelpful but barium studies were found to complement oesophagoscopy in reaching a diagnosis. There were six complications of oesophagoscopy, two following normal examinations.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bain, W. M., Harrington, J. W., Thomas, L. E. and Schaefer, S. D. (1983) Head and neck manifestations of gastroesophageal reflux. Laryngoscope, 93: 175179.CrossRefGoogle ScholarPubMed
Batch, A. J. G. (1985) The role of fibreoptic oesophagogastroscopy in ENT practice. Journal of Laryngology and Otology, 99: 783791.CrossRefGoogle Scholar
Bennett, J. R. (1984) Not … achalasia. British Medical Journal, 288: 93.CrossRefGoogle ScholarPubMed
Borgeskov, S., Brynitz, S. and Siemenssen, O. (1984) Perforation of the oesophagus. Scandinavian Journal of Thoracic and Cardiovascular Surgery, 18: 9396.CrossRefGoogle Scholar
Caldarelli, D. D., Andrews, A. H. and Derbyshire, A. J. (1970) Esophageal motility studies in globus sensation. Annals of Otology, Rhinology and Laryngology, 79, 10981100.CrossRefGoogle ScholarPubMed
Cherry, J., Siegel, C. I., Margulies, S. I. and Donner, M. (1970) Pharyngeal localisation of symptoms of gastroesophageal reflux. Annals of Otology, Rhinology and Laryngology, 79: 912914.CrossRefGoogle ScholarPubMed
Clouse, R. E. and Lustman, P. J. (1983) Psychiatric illness and contraction abnormalities of the oesophagus. New England Journal of Medicine, 309: 13371342.CrossRefGoogle Scholar
Dawson, J. and Cockel, R. (1981) Oesophageal perforation at fibreoptic gastroscopy. British Medical Journal, 283: 583.CrossRefGoogle ScholarPubMed
Delahunty, J. E. and Ardran, G. M. (1970) Globus hystericus—a manifestation of reflux oesophagitis? Journal of Laryngology and Otology, 84: 10491054.CrossRefGoogle ScholarPubMed
Editorial (1984) Instrumental perforation of the oesophagus. Lancet, I: 1279.Google Scholar
Flores, T. C., Cross, F. S. and Jones, R. D. (1981) Abnormal esophageal manometry in globus hystericus. Annals of Otology, Rhinology and Laryngology, 90: 383386.CrossRefGoogle ScholarPubMed
Freeland, A. P., Ardran, G. M. and Emrys-Roberts, E. (1974) Globus hystericus and reflux oesophagitis. Journal of Laryngology and Otology, 88: 10251031.CrossRefGoogle ScholarPubMed
Gedguadas-McClees, R. K. and McClees, E. C. (1984) The value of the barium swallow technique in the evaluation of the hypophary nx. The Mount Sinai Journal of Medicine, 51: 455459.Google Scholar
Hine, K. R. and Atkinson, M. (1984) Instrumental perforation of the oesophagus. Lancet, II: 52 (letter).CrossRefGoogle Scholar
Kilman, W. J. and Goyal, R. K. (1976) Disorders of pharyngeal and upper esophageal sphincter motor function. Archives of Internal Medicine, 136: 592601.CrossRefGoogle ScholarPubMed
Lusink, C., Sali, A. and Chou, S. T. (1983) Diagnostic accuracy of flexible endoscopic biopsy in carcinoma of the oesophagus and cardia. Australian and New Zealand Journal of Surgery, 55: 545549.CrossRefGoogle Scholar
Mair, I. W. S., Schroder, K. E., Modalsli, B. and Maurer, H. J. (1974) Aetiological aspects of the globus symptom. Journal of Laryngology and Otology, 88: 10331054.CrossRefGoogle ScholarPubMed
Malcomson, K. G. (1966) Radiological findings in globus hystericus. British Journal of Radiology, 39: 583586.CrossRefGoogle ScholarPubMed
Malcomson, K. G. (1968) Globus hystericus vel pharyngis. Journal of Laryngology and Otology, 82: 219230.CrossRefGoogle ScholarPubMed
Martin, T. R., Vennes, J. A., Silvis, S. E. and Ansel, H. J. (1980) A comparison of upper gastrointestinal endoscopy and radiography. Journal of Clinical Gastroenterology, 2: 2125.CrossRefGoogle ScholarPubMed
Mullard, K. S. (1981) Endoscopic assessment of oesophageal disease. British Medical Journal, 282: 569(Letter).CrossRefGoogle Scholar
Olsen, A. M. (1982) Esophagology: An update. Annals of Otology, Rhinology and Laryngology, 91: 551557.CrossRefGoogle ScholarPubMed
Phillips, L. G. and Cunningham, J. (1984) Esophageal perforation. Radiologic Clinics of North America, 22: 607613.CrossRefGoogle ScholarPubMed
Schulze, S., Pedersen, V. M. and Madsen, K. H. (1982) Iatrogenic perforation of the oesophagus. Acta Chirugica Scandinavica, 148: 679682.Google Scholar
Silvis, S. E., Nebel, O., Rogers, G., Sugawa, C. and Mandelstam, P. (1976) Endoscopic complications. Journal of American Medical Association, 235: 928930.CrossRefGoogle ScholarPubMed
Swamy, N. and Rayl, J. E. (1978) Functional diseases of the oesophagus: The role of endoscopy. Annals of Otology, Rhinology and Laryngology, 87: 523527.CrossRefGoogle ScholarPubMed
Thompson, G. W. and Heaton, K. W. (1982) Heartburn and globus in apparently healthy people. Canadian Medical Association Journal, 126: 4648.Google ScholarPubMed
Watson, W. C. and Sullivan, S. N. (1974) Hypertonicity of the cricopharyngeal sphincter: A cause of globus sensation. Lancet, II: 14171419.CrossRefGoogle Scholar
Wesdorp, I. C. E., Bartelsman, J. F. W. M., Huibregtse, K., Hartog Jager, F. C. and Tytgat, G. N. (1984) Treatment of instrumental oesophageal perforation. Gut, 25: 398404.CrossRefGoogle ScholarPubMed
Winship, D. H. (1983) Upper esophageal sphincter: Does it care about reflux? Gastroenterology, 85: 470472.CrossRefGoogle ScholarPubMed