Diffuse idiopathic skeletal hyperostosis as an overlooked cause of dysphagia: a case report.

Diffuse idiopathic skeletal hyperostosis as an overlooked cause of dysphagia: a case report. Research Abstract Details 

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Diffuse idiopathic skeletal hyperostosis as an overlooked cause of dysphagia: a case report. Abstract Text:

ABSTRACT: INTRODUCTION: Dysphagia is a common presentation in older people. Diffuse idiopathic skeletal hyperostosis affecting the cervical spine is an uncommon cause of dysphagia and may be overlooked. CASE PRESENTATION: We present the case of an 88-year-old man with dysphagia and weight loss. Initial investigation with upper gastrointestinal endoscopy was inconclusive. A diagnosis of diffuse idiopathic skeletal hyperostosis as a cause for dysphagia was eventually made using video fluoroscopy. This showed a bony prominence impeding swallow at the level of C3. The patient was unfit for surgical management so a percutaneous endoscopic gastrostomy tube was inserted for feeding. CONCLUSION: The diagnosis of diffuse idiopathic skeletal hyperostosis involving the cervical spine often goes unrecognised as a cause of dysphagia despite its prevalence in the elderly population. Diagnosis is made using cervical radiographs, barium swallow and computed tomography. There is a risk of perforation with endoscopy in patients who have cervical diffuse idiopathic skeletal hyperostosis. Conservative management includes non-steroidal anti-inflammatory medications and a modified diet. Surgery may be considered in certain patients where conservative management fails.

Diffuse idiopathic skeletal hyperostosis as an overlooked cause of dysphagia: a case report. Publishing Authors By Initials

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Diffuse idiopathic skeletal hyperostosis as an overlooked cause of dysphagia: a case report. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of medical case reports

VOLUME: 2

Page Numbers: 287

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ISSN: 1752-1947

DAY: 27

MONTH: 08

YEAR: 2008

Diffuse idiopathic skeletal hyperostosis as an overlooked cause of dysphagia: a case report. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Diffuse idiopathic skeletal hyperostosis as an overlooked cause of dysphagia: a case report.

AFFILIATION: Department of Elderly Care, Chelsea and Westminster Foundation Hospital, Fulham Road, London, SW10 9NH, UK. seema.the.doctor@gmail.com.

Country: England

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MEDLINETA: J Med Case Reports

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