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Curriculum based clinical review
Curriculum review : investigation and management of dysphagia
  1. Gaurav B Nigam1,2,
  2. Dipesh Harshvadan Vasant3,4,
  3. Anjan Dhar5,6
  1. 1Translational Gastroenterology Unit, Oxford University Hospitals, Oxford, UK
  2. 2National Institute of Health Research, Oxford, UK
  3. 3Neurogastroenterology Unit, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK
  4. 4Division of Diabetes, Endocrinology and Gastroenterology, The University of Manchester, Manchester, UK
  5. 5Gastroenterology, Darlington Memorial Hospital, Darlington, UK
  6. 6School of Health and Life Sciences, Teesside University, Middlesborough, UK
  1. Correspondence to Dr Gaurav B Nigam, Translational Gastroenterology Unit, Oxford University Hospitals NHS Trust, Oxford, UK; gaurav.nigam{at}nhs.net

Abstract

Dysphagia is a common presentation in gastroenterology practice and the diagnosis and management requires a comprehensive knowledge of diverse range of aetiologies, with a systematic approach for assessment of symptoms, selection of investigations and appropriate treatment to relieve symptoms. In this curriculum review, the suggested diagnostic approach highlights the importance of thorough clinical assessment in order to guide the selection of investigations. This article discusses the utility of endoscopic, histopathology, fluoroscopic and motility investigations for dysphagia, and their interpretation, in order to guide targeted treatments ranging from dietary, pharmacological, endoscopic and surgical interventions.

  • dysphagia
  • manometry
  • gastrointesinal endoscopy

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Footnotes

  • Twitter @drgauravbnigam, @DipeshVasant, @anjan_dhar6

  • Contributors GBN contributed to manuscript planning, writing, tables and flowcharts, editing; question writing, submission and responsible for overall content. DHV contributed to manuscript planning, reviewing and editing; provision of original images, responsible for overall content. AD contributed to manuscript planning, reviewing and editing, responsible for overall content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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