Vandenplas Y
Department of Paediatric Gastroenterology and Nutrition, University Children's Hospital, Free University Brussels, Belgium.
Acta Otorhinolaryngol Belg. 1994;48(2):201-6.
The history and physical examination provides in most patients sufficient information regarding the aetiology of dysphagia in childhood. However, dysphagia might in some rare cases be a diagnostic challenge, as e.g. in patients with gastro-oesophageal disease without typical oesophageal symptoms (regurgitation, emesis). In this paper, most interest will be given to these conditions causing dysphagia in whom the history and physical examination are less relevant. The percutaneous endoscopic gastrostomy offers new therapeutic possibilities. Perhaps more than in adults, a correct assessment of dysphagia in childhood necessitates a close collaboration between different sub-specialists such as a paediatric oto-rhino-laryngologist, neurologist, pneumologist and gastro-enterologist.
病史和体格检查为大多数儿童吞咽困难的病因提供了足够的信息。然而，在某些罕见情况下，吞咽困难可能是一个诊断难题，例如在患有胃食管疾病但没有典型食管症状（反流、呕吐）的患者中。在本文中，将重点关注那些病史和体格检查相关性较小的导致吞咽困难的情况。经皮内镜下胃造口术提供了新的治疗可能性。与成人相比，儿童吞咽困难的正确评估可能更需要不同亚专科医生之间的密切合作，如儿科耳鼻喉科医生、神经科医生、呼吸科医生和胃肠科医生。
