Oesophagoscopy Health Dictionary

Oesophagoscopy: From 1 Different Sources


Endoscopic examination of the oesophagus (see gastroscopy).
Health Source: BMA Medical Dictionary
Author: The British Medical Association

Pharynx, Cancer Of

A cancerous tumour of the pharynx. Pharyngeal cancer usually develops in the mucous membrane lining. In the West, almost all cases of pharyngeal cancer are related to smoking and to drinking alcohol. The incidence rises with age, and the disorder is more common in men.

Cancerous tumours of the oropharynx (the middle section of the pharynx) usually cause difficulty swallowing, often with a sore throat and earache. Bloodstained sputum may be coughed up. Sometimes there is only the feeling of a lump in the throat or a visible enlarged lymph node in the neck. Cancer of the laryngopharynx (the lowermost part of the pharynx) initially causes a sensation of incomplete swallowing, then a muffled voice, hoarseness, and increased difficulty in swallowing. Tumours of the nasopharynx have different causes.Diagnosis of cancer of the pharynx is made by biopsy, often in conjunction with laryngoscopy, bronchoscopy, or oesophagoscopy.

The growth may be removed surgically or treated with radiotherapy.

Anticancer drugs may also be given.... pharynx, cancer of

Swallowing

The process by which food or liquid is conveyed from the mouth tothe stomach via the oesophagus. Once food has been chewed and mixed with saliva to form a bolus, the tongue pushes the bolus to the back of the mouth and the voluntary muscles in the palate push it into the throat. The rest of the swallowing process occurs by a series of reflexes. Entry of food into the throat causes the epiglottis to tilt down to seal the trachea and the soft palate to move back in order to close off the naval cavity. The throat muscles push the food into the oesophagus. Waves of contraction (peristalsis) along the oesophagus propel the food towards the stomach. swallowing difficulty A common symptom with various possible causes, including a foreign object in the throat; insufficient production of saliva (see mouth, dry); a disorder of the oesophagus such as oesophageal stricture; pressure on the oesophagus, for example from a goitre; a nervous system disorder such as myasthenia gravis or stroke; or a psychological problem such as globus hystericus.

Investigations of swallowing difficulty may include oesophagoscopy or barium swallow (see barium X-ray examinations).

Treatment depends on the cause.... swallowing

Oesophagoscope

n. an illuminated optical instrument used to inspect the interior of the oesophagus (gullet), dilate strictures, obtain material for biopsy, or remove a foreign body. It may be a rigid metal tube or a flexible fibreoptic or video-camera instrument (see gastroscope). —oesophagoscopy n.... oesophagoscope



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