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KMID : 0828520090130020095
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Journal of the Korean Geriatrics Society
2009 Volume.13 No. 2 p.95 ~ p.100
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Endoscopic Balloon Dilatation for the Treatment of Cricopharyngeal Dysfunction with Dysphagia
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Cha Dong-Yeon
Yang Hee-Seung
Noh Ji-Young
Park Young-Ok
Kim Sung-Hoon
Kim Wan-Tae
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Abstract
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Primary cricopharyngeal dysfunction is a rare, idiopathic, functional disorder of the upper esophageal sphincter(UES) characterized by dysphagia, frequent aspiration, and functional narrowing at the level of UES. It is caused by failure or partial relaxation of the sphincter, lack of pharyngoesophageal coordination, or reduced compliance of the muscular of the UES. We saw a 62-year-old man who presented with dysphagia and UES narrowing on videofluoroscopy swallowing study(VFSS). Physical, neurologic, and laboratory evaluations revealed no abnormal findings. Radiologic evaluation looking for any abnormalities that might provoke dysphagia was within normal limits. VFSS showed laryngeal aspiration, residue in vallecular and pyriform sinuses, and cricopharyngeal narrowing. Balloon catheter dilatation under endoscopic guidance was performed twice, after which, the dysphagia improved. Here, we describe the results of treatment with balloon dilatation in a patient with primary cricopharyngeal dysfunction.
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KEYWORD
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Cricopharyngeal dysfunction, Balloon dilatation, Deglutition disorders
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