Acute voedselpassageklachten: Vaak een goed behandelbare oorzaak

Translated title of the contribution: Acute dysphagia often has a readily treatable cause

L. M G Moons*, E. J. Kuipers, P. D. Siersema

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Three patients, one woman aged 45 years and two men aged 40 and 62 years, presented with acute dysphagia due to oesophageal obstruction by a piece of food. In the woman symptoms of oesophageal perforation developed after the piece of food was removed by rigid endoscopy; she recovered after treatment with a stent, antibiotics and acid inhibitors. The younger man had a stricture of the oesophagus that was dilated. The older man had a Barrett's oesophagus and also oesophageal adenocarcinoma; he was free of symptoms three years after resection of the oesophagus and the creation of a tubular stomach. In adults, 60% of acute oesophageal obstructions are caused by food impaction, which is associated with a high incidence of secondary pathologic findings in the oesophagus (75-97%). Evaluation of the oesophagus by flexible endoscopy contributes to an adequate diagnosis. Moreover, it can be used to treat the cause of the obstruction. If dilation therapy is started early after detecting a benign stricture in the oesophagus, it reduces the likelihood of recurrence. The detection of early-stage oesophageal malignancies may improve the prognosis of patients with this disorder.

Translated title of the contributionAcute dysphagia often has a readily treatable cause
Original languageDutch
Pages (from-to)1713-1717
Number of pages5
JournalNederlands Tijdschrift voor Geneeskunde
Issue number36
Publication statusPublished - 6 Sept 2003


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