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Ann Geriatr Med Res > Volume 13(2); 2009 > Article
Journal of the Korean Geriatrics Society 2009;13(2):95-100.
DOI: https://doi.org/10.4235/jkgs.2009.13.2.95    Published online June 30, 2009.
Endoscopic Balloon Dilatation for the Treatment of Cricopharyngeal Dysfunction with Dysphagia
Dong Yeon Cha, Hee Seung Yang, Ji Young Noh, Young Ok Park, Sung Hoon Kim, Wan Tae Kim
원발성 윤상인두근 기능 이상으로 인한 삼킴장애 환자에서 내시경 하 윤상근확장술의 치료
Abstract
Primary cricopharyngeal dysfunction is a rare, idiopathic, functional disorder of the upper esophageal sphincter (UES) characterized by dysphagia, frequent aspiration, and functional narrowing at the level of UES. It is caused by failure or partial relaxation of the sphincter, lack of pharyngoesophageal coordination, or reduced compliance of the muscular of the UES. We saw a 62-year-old man who presented with dysphagia and UES narrowing on videofluoroscopy swallowing study (VFSS). Physical, neurologic, and laboratory evaluations revealed no abnormal findings. Radiologic evaluation looking for any abnormalities that might provoke dysphagia was within normal limits. VFSS showed laryngeal aspiration, residue in vallecular and pyriform sinuses, and cricopharyngeal narrowing. Balloon catheter dilatation under endoscopic guidance was performed twice, after which, the dysphagia improved. Here, we describe the results of treatment with balloon dilatation in a patient with primary cricopharyngeal dysfunction.
Key Words: Cricopharyngeal dysfunction, Balloon dilatation, Deglutition disorders
초 록

원발성 윤상인두근 기능장애는 노인 환자에서 드물게 발생하며, 삼킴장애, 폐렴, 영양결핍 등의 합병증을 유발할 수 있다. 원발성 윤상인두근 기능장애에 대한 치료로서 근절개술, 보툴리눔 독소 주사, 내시경 하 풍선확장술을 고려할 수 있으며, 이 중 내시경 하 풍선확장술을 실시하여 삼킴장애가 호전된 증례를 경험하여 이를 문헌고찰과 함께 보고하고자 한다.

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