Artikel
Flexible endoscopy above the upper esophageal sphincter
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Veröffentlicht: | 15. April 2013 |
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Gliederung
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Introduction: Laryngohypopharyngeal tumors are frequently diagnosed at advanced stage. The advanced methods (Lugol’s solution chromoendoscopy or methylene blue contact endoscopy, autofluorescence or narrow band imaging) can not be always used in the hypoharynx/larynx or they are not widely available.
Laryngeal and hypopharyngeal photos (LHP) performed during routine esophagogastroduodenoscopy (EG) were used for diagnosis of laryngeal and hypopharyngeal diseases.
Methods: In this pilot prospective three LHPs (larynx, right and left piriform sinus) were recorded during all EGD. LHPs were subsequently independently evaluated for presence of neoplastic and non-neoplastic lesions by gastroenterologist (GE) and otorhinolaryngologist (ORL) and clinical examination was performed if indicated by ORL.
Results: Total number of 1224 patients were included. 35 (2.85%) patients were excluded because of low quality of LHPs. Based on LHPs, GE suspected patology in 6.1% (73/1189) and ORL suspected patology in 59.9% (712/1189) of patients. Clinical examination was performed by ORL in 4.0%.
The most frequent finding was reflux laryngitis (55.9%). Laryngeal spinocellular carcinoma was found in 4 (0.3%) patients (all recognized both by GE and ORL), benign lesion in 56 (4.7%) patients.
Conclusion: Laryngeal and hypopharyngeal photos were feasible in 98% of patients coming to routine EGD, patology was found in almost 60% of patiens (reflux laryngitis was found most frequently). Although no early carcinoma was detected, we conclude that routine endoscopic examination of laryngeal and hypopharyngeal region performed by GE during routine EGD could be beneficial for the patient. This study was supported by the Institutional support of the Ministry of Health No. 1 RVO-FNOs/2012.
Unterstützt durch: Institutional support of the Ministry of Health No. 1 RVO-FNOs/2012.
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