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Endoscopic Evaluation of Dysphagia
Thomas J. Watson
Publication Date: 2023
The flexible endoscope is an essential and indispensable tool in the diagnostic and therapeutic armamentarium of the esophagologist. The choice of endoscopy as the initial study in the evaluation of dysphagia has been controversial, given its invasiveness, cost, the need for sedation, and the availability of an inexpensive, noninvasive alternative in the form of contrast esophagography. Benign strictures of various etiologies are the most common causes of dysphagia found at the time of endoscopy and can be treated with concomitant dilation. New endoscopic technologies and techniques undoubtedly will continue to emerge adding to the therapeutic armamentarium of the endoscopist in the ongoing pursuit of treatments for both structural and neuromuscular causes of dysphagia.
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