Rösch W
Laryngol Rhinol Otol (Stuttg). 1982 Jun;61(6):279-83.
For precise differentiation between organic and functional disorders of the oesophagus, the gastroenterologist makes use of radiology, endoscopy, and manometry, although a questionnaire may establish the final diagnosis in dysphagia with 95% accuracy. Combined therapy is gaining in increasing importance, such as dilatation of achalasia, bouginage of peptic strictures, implantation of prostheses and sclerosing of varices during endoscopy. For early diagnosis of carcinoma, close interdisciplinary cooperation between the ENT-specialist and the gastroenterologist is mandatory in panendoscopy of the squamous epithelium-lined aero-digestive system.
为了精确区分食管的器质性疾病和功能性疾病,胃肠病学家会利用放射学、内镜检查和测压法,尽管一份问卷可能以95%的准确率确定吞咽困难的最终诊断。联合治疗正变得越来越重要,比如贲门失弛缓症的扩张、消化性狭窄的探条扩张术、内镜检查期间假体植入和静脉曲张硬化治疗。为了早期诊断癌症,耳鼻喉科专家和胃肠病学家之间密切的跨学科合作在鳞状上皮衬里的上呼吸道和消化道系统的全内镜检查中是必不可少的。