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FAISAL GHANI SIDDIQUI MBBS; FCPS; MCPS (HPE); PGD (BIOETHICS) faisal@ lumhs.pk

FAISAL GHANI SIDDIQUI MBBS; FCPS; MCPS (HPE); PGD (BIOETHICS) faisal@ lumhs.edu.pk www.lumhs.edu.pk /faculties/surgery/ gsurgery /about- dr.faisalghani.html. PREAMBLE. DIFFICULTY IN SWALLOWING RESULTS FROM ANY PATHOLOGY THAT INTERFERES WITH THE NORMAL SWALLOWING MECHANISM. ORAL PHARYNGEAL

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FAISAL GHANI SIDDIQUI MBBS; FCPS; MCPS (HPE); PGD (BIOETHICS) faisal@ lumhs.pk

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  1. FAISAL GHANI SIDDIQUI MBBS; FCPS; MCPS (HPE); PGD (BIOETHICS) faisal@lumhs.edu.pk www.lumhs.edu.pk/faculties/surgery/gsurgery/about-dr.faisalghani.html

  2. PREAMBLE

  3. DIFFICULTY IN SWALLOWING RESULTS FROM ANY PATHOLOGY THAT INTERFERES WITH THE NORMAL SWALLOWING MECHANISM

  4. ORAL PHARYNGEAL OESOPHAGEAL

  5. ORAL PHASEFOOD BOLUS ROLLED BACK BY THE TONGUE INTO THE PHARYNX PHARYNGEAL PHASEFOOD PASSES THROUGH THE PHARYNX INTO THE OESOPHAGUS OESOPHAGEAL PHASEFOOD PASSES THROUGH THE OESOPHAGUS INTO THE STOMACH

  6. HIGH (OROPHARYNGEAL)DYSPHAGIA OCCURING AT OR ABOVE CRICOPHARYNGEUS LOW (OESOPHAGEAL)DYSPHAGIA OCCURING BELOW CRICOPHARYNGEUS

  7. DYSPHAGIA -CAUSES

  8. DYSPHAGIA -CAUSES

  9. DYSPHAGIA -DIAGNOSIS

  10. HIGH (OROPHARYNGEAL) DYSPHAGIA ASSOCIATED WITH CHOKING OR COUGHING IMMEDIATELY AFTER SWALLOWING SWALLOWING SOLIDS EASIER THAN LIQUIDS

  11. DYSPHAGIA DUE TO OESOPHAGEAL CARCINOMA SHORT DURATION (< 3 MONTHS) PROGRESSIVE ASSOCIATED WEIGHT LOSS

  12. DYSPHAGIA DUE TO MOTILITY DISORDERS LONG HISTORY INVOLVES BOTH SOLIDS AND LIQUIDS DYSPHAGIA MAY DISAPPEAR, BEING REPLACED WITH REGURGITATION & NOCTURNAL COUGH

  13. OFTEN UNREWARDING MOVEMENTS OF TONGUE, PALATE, & MUSCLES OF FACIAL EXPRESSION CERVICAL LYMPHADENOPATHY WEIGHT LOSS

  14. ENDOSCOPYBARIUM SWALLOWMANOMETRYEUS

  15. PATIENTS WITH HIGH DYSPHAGIA WITH NO OBVIOUS NEUROLOGICAL CAUSE SHOULD BE REFERRED TO ENT SPECIALIST FLEXIBLE LARYNGOSCOPY FLEXIBLE NASOENDOSCOPY RIGID ENDOSCOPY

  16. OESOPHAGEAL DYSPHAGIA BIOPSIES TO DIFFERENTIATE MALIGNANT & BENIGN STRICTURES THERAPEUTIC; DILATATION OF BENIGN STRICTURES / MOTILITY DISORDERS STENTING IN INOPERABLE TUMOURS

  17. OESOPHAGEAL DYSPHAGIA Demonstrates different structural pathologies Hiatus hernia | Strictures Achalasia |Tumours

  18. PATIENTS WITH NO STRUCTURAL ABNORMALITY ON ENDOSCOPYREQUIRE FURTHER INVESTIGATION WITH MANOMETRYTO EXCLUDE MOTILITY DISORDERS

  19. USED FOR STAGING OF HISTOLOGICALLY PROVEN OESOPHAGO-GASTRIC CARCINOMA WALL PENETRATION LYMPH NODE INVOLVEMENT EXTRINSIC OESOPHAGEAL COMPRESSION

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