Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1015_Библиотеки_им_академика_М_И_Перельмана

Medical Radiology

Diagnostic Imaging

Series Editors

Maximilian F. Reiser Hedvig Hricak Michael Knauth

Editorial Board

Andy Adam, London Fred Avni, Brussels Richard L. Baron, Chicago Carlo Bartolozzi, Pisa George S. Bisset, Durham A. Mark Davies, Birmingham William P. Dillon, San Francisco D. David Dershaw, New York Sam Sanjiv Gambhir, Stanford Nicolas Grenier, Bordeaux Gertraud Heinz-Peer, Vienna Robert Hermans, Leuven Hans-Ulrich Kauczor, Heidelberg Theresa McLoud, Boston Konstantin Nikolaou, Munich Caroline Reinhold, Montreal Donald Resnick, San Diego Rüdiger Schulz-Wendtland, Erlangen Stephen Solomon, New York Richard D. White, Columbus

Diagnosis and Treatment

123

Olle Ekberg Department of Clinical Sciences Skåne University Hospital Lund University Malmö Sweden

Foreword

Dysphagia is a symptom of many and diverse diseas es causing serious dero­gation of the quality of life. Diagnosis and treat ment of dysphagia requires knowledge and experience of specialists from multiple disciplines, such as ENT specialists, neurologists, gastroenterologists and various other disciplines. For the radiologists involved in interdisciplinary teams, which are devoted to the diagnosis and treatment of dysphagia, knowledge of the anatomy and physi­ology is fundamental. Familiarity with the clinical background and available treatment options is mandatory.

After the first edition in 2004 this second edition incorporates all newly discovered knowledge in this rapidly advancing field.

On behalf of the series editors of Medical Radiology—Diagnostic Imaging I would like to extend our sincere thanks to Prof. Ekberg and his co-workers for this extraordinary work. We are sure that it will be a great help for those interested in dysphagia and treatment of patients suffering from this symptom.

Preface

In preparing this volume, my aim has been to organize and set down, as con­cisely as possible, what may be considered the basic facts concerning the diagnosis and treatment of dysphagia. A principal focus is how to analyze the symptom of dysphagia, which is of the utmost importance and forms the basis for selection of any further steps in evaluation. In the clinical work-up, radi­ology is crucial. This was the topic of the book Radiology of the Pharynx and Esophagus, published by Springer in 2004. The continued rapid advances in dysphagology in the intervening period have prompted me to revise and expand that book. Seventeen chapters have been updated and refreshed, while 19 are completely new and place dysphagia in an even broader and deeper context. Particularly the consequences like malnutrition and dehydrat ion are thoroughly described.

The authors of the individual chapters are experts in their fields and most of them are engaged in hands-on practical work with patients.

The skilful assistance provided by Ms. Eva Prahl has been invaluable in bringing together all the loose ends to create what I hope will be a well-received volume.

I also wish to thank all the contributors to the volume and, particularly, Ms. Corinna Schaefer and Ms. Daniela Brandt of the publisher’s staff. Their enthusiasm and skilful guidance have been invaluable.

Feeding and Respiration ................................... 49

Olle Ekberg, Anna I. Hårdemark Cedborg, Katarina Bodén, Hanne Witt Hedström, Richard Kuylenstierna, Lars I. Eriksson, and Eva Sundman

Oral and Pharyngeal Function and Dysfunction .................. 55

Olle Ekberg

Part II Clinical Evaluation

Evaluation of Symptoms ................................... 71

Doris-Maria Denk-Linnert

Olle Ekberg

Margareta Bülow

Part III Imaging and other Examination Techniques

The Clinical and Radiological Approach to Dysphagia ............. 201