Nagano Hiromi, Yoshifuku Kousuke, Kurono Yuichi
Department of Internal Medicine, Kashima Hospital, 1530-6 Kashima, Satsumasenndai, Kagoshima, Japan.
Auris Nasus Larynx. 2010 Apr;37(2):195-8. doi: 10.1016/j.anl.2009.06.004. Epub 2009 Aug 22.
The aim of the study was to clarify the relationship between a globus sensation and esophageal diseases using upper gastrointestinal endoscopy.
The study population consisted of 52 consecutive patients (33 men, 19 women, age 46-94 years old) with a globus sensation without laryngeal and hypopharyngeal findings who were referred to the Department of Otolaryngology at Ooshima Prefecture Hospital. The subjects were examined by upper gastrointestinal endoscopy.
Nineteen patients (36.5%) had esophageal disorder, including 10 cases of reflux esophagitis, 5 of esophageal candidiasis, 3 of esophageal cancer. and 1 of herpes and reflux esophagitis. Neither age nor duration of symptoms differed significantly between patients without an esophageal disorder and those with reflux esophagitis or esophageal candidiasis.
The results suggest that examination for esophageal diseases is important in patients with a globus sensation without laryngeal and hypopharyngeal findings.
本研究旨在通过上消化道内镜检查明确咽异感症与食管疾病之间的关系。
研究对象为52例连续的因咽异感症前来大岛县立医院耳鼻喉科就诊的患者（男性33例，女性19例，年龄46 - 94岁），这些患者无喉部及下咽病变表现。对研究对象进行上消化道内镜检查。
19例患者（36.5%）存在食管病变，其中反流性食管炎10例，食管念珠菌病5例，食管癌3例，疱疹合并反流性食管炎1例。无食管病变的患者与患有反流性食管炎或食管念珠菌病的患者在年龄和症状持续时间上均无显著差异。
结果表明，对于无喉部及下咽病变表现的咽异感症患者，进行食管疾病检查很重要。
