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Korean J Helicobacter  Up Gastrointest Res > Volume 15(3); 2015 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2015;15(3):187-191.
DOI: https://doi.org/10.7704/kjhugr.2015.15.3.187    Published online September 10, 2015.
Early Detection of Anterior Cervical Osteophytes Causing Dysphagia by Esophagogastroduodenoscopy
Min Su Chu, Han Seung Ryu, In Tae Hwang, Ki Chang Sohn, Dong Ho Jo, Byung Hun Lim, Suck Chei Choi
Department of Internal Medicine, Digestive Disease Research Institute, Wonkwang University College of Medicine, Iksan, Korea. medcsc@wonkwang.ac.kr
식도위내시경으로 조기 진단된 경추 전방 골극에 의해 발생한 연하곤란
주민수, 류한승, 황인태, 손기창, 조동호, 임병훈, 최석채
원광대학교 의과대학 내과학교실, 소화기질환연구소
Abstract
Anterior cervical osteophytes affecting the cervical spine are a rare cause of dysphagia. They may affect the patient's life by compressing the larynx. A 66-year-old male patient complained of dysphagia during swallowing that started five months earlier. During esophagogastroduodenoscopy, the endoscopist felt outside pressure and severe resistance, and a protruded lesion at the posterior wall of the hypopharynx was found. A cervical spine x-ray showed prominent anterior osteophytes at the C-spine 2-5 level. In addition, computed tomography showed esophageal luminal narrowing related to prominent anterior cervical osteophytes at the C-spine 3-4 level. Due to the absence of any effective medical therapy and rapid progression of dysphagia, surgery was recommended to relieve the symptoms. Clinical improvement occurred after surgical resection of the osteophytes through an anterior cervical approach. So we report here on a rare case of anterior cervical osteophytes with dysphagia with review of the relevant literature.
Key Words: Cervical osteophytes; Dysphagia; Esophagogastroduodenoscopy
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