Ozgocmen Salih, Kiris Adem, Kocakoc Ercan, Ardicoglu Ozge
Department of Physical Medicine and Rehabilitation, Firat University, Faculty of Medicine, Elazig, Turkey.
Joint Bone Spine. 2002 Mar;69(2):226-9. doi: 10.1016/s1297-319x(02)00377-9.
Dysphagia is a common complaint of patients seen by physicians. Osteophyte compression due to diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease and cervical spondylosis has been identified as a cause of dysphagia. We report three elderly male cases of whom two had dysphagia due to DISH and one had dysphagia due to osteophyte compression associated with severe cervical spondylosis. Clinical and radiographical findings including barium oesophagogram and computed tomography are presented. Endoscopy should be carefully performed to rule out additional pathology in such patients. Medical treatment preferably with liquid forms of NSAIDs and diet may cause satisfactory improvement.
吞咽困难是医生诊治患者时常见的主诉。弥漫性特发性骨肥厚(DISH)或Forestier病以及颈椎病导致的骨赘压迫已被确认为吞咽困难的一个原因。我们报告了3例老年男性病例,其中2例因DISH出现吞咽困难,1例因与严重颈椎病相关的骨赘压迫出现吞咽困难。本文展示了包括钡餐食管造影和计算机断层扫描在内的临床及影像学检查结果。对此类患者应谨慎进行内镜检查以排除其他病变。最好使用液体剂型的非甾体抗炎药并配合饮食进行药物治疗,可能会带来令人满意的改善效果。