{"title":"吞咽困难的诊断方法","authors":"David A. Katzka MD, Michael L. Kochman MD, FACP","doi":"10.1016/j.clinup.2004.01.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Commentary</h3><p><span><span>Dysphagia is a common esophageal symptom with nearly 1 in 5 subjects older than 50 years describing this symptom in </span>epidemiologic surveys. It is the second most common indication for upper </span>endoscopy in the United States. There is a myriad list of possible etiologies for dysphagia. Consequently, a systematic approach to the differential diagnosis resulting in a well planned investigation is important. As described by Drs. Katzka and Kochman, a carefully obtained medical history is the initial step. Upper endoscopy is almost always indicated as part of the evaluation and treatment.</p><p>Grace Elta, MD</p><p>Editor</p></div>","PeriodicalId":100280,"journal":{"name":"Clinical Update","volume":"11 4","pages":"Pages 1-4"},"PeriodicalIF":0.0000,"publicationDate":"2004-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clinup.2004.01.001","citationCount":"1","resultStr":"{\"title\":\"Diagnostic approach for dysphagia\",\"authors\":\"David A. Katzka MD, Michael L. Kochman MD, FACP\",\"doi\":\"10.1016/j.clinup.2004.01.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Commentary</h3><p><span><span>Dysphagia is a common esophageal symptom with nearly 1 in 5 subjects older than 50 years describing this symptom in </span>epidemiologic surveys. It is the second most common indication for upper </span>endoscopy in the United States. There is a myriad list of possible etiologies for dysphagia. Consequently, a systematic approach to the differential diagnosis resulting in a well planned investigation is important. As described by Drs. Katzka and Kochman, a carefully obtained medical history is the initial step. Upper endoscopy is almost always indicated as part of the evaluation and treatment.</p><p>Grace Elta, MD</p><p>Editor</p></div>\",\"PeriodicalId\":100280,\"journal\":{\"name\":\"Clinical Update\",\"volume\":\"11 4\",\"pages\":\"Pages 1-4\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2004-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.clinup.2004.01.001\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Update\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1070721204000028\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Update","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1070721204000028","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Dysphagia is a common esophageal symptom with nearly 1 in 5 subjects older than 50 years describing this symptom in epidemiologic surveys. It is the second most common indication for upper endoscopy in the United States. There is a myriad list of possible etiologies for dysphagia. Consequently, a systematic approach to the differential diagnosis resulting in a well planned investigation is important. As described by Drs. Katzka and Kochman, a carefully obtained medical history is the initial step. Upper endoscopy is almost always indicated as part of the evaluation and treatment.