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Submitted: 16 May 2007 Modified: 05 July 2018
HERDIN Record #: PCHRDPC050221

Cervical web of the esophagus: An important cause of dysphagia.

1 Atenodoro  R. Ruiz Jr.
Institute of Digestive Diseases - St. Luke's Medical Center

Abstract

OBJECTIVES: 1. To present a case of a patient with a cervical web in the upper esophagus. 2. To review the written literature on the diagnosis and management of cervical webs.


SETTING: Outpatient clinic and tertiary care hospital


CASE SUMMARY: Cervical webs are thin, transverse membranes in the upper esophagus that rarely encircle the esophageal lumen. If symptomatic, they cause intermittent dysphagia for solids, but not usually for liquids. A 51-year old Filipino female consulted for chronic and non-progressive dysphagia for solids. She had previous work-up that did not reveal the etiology of her symptoms. Barium esophagogram and esophagoscopy documented a cervical web in the upper esophagus. She underwent esophageal bougienage using BARD American dilators. She had resolution of her symptoms post-procedure. Strong clinical suspicion on the part of the gastroenterologist should lead to diagnosis of a cervical web and subsequent treatment.

1.
Publication Type:
Journal
Publication Sub Type:
Case report
Title:
Philippine Journal of Internal Medicine
Frequency:
Bimonthly
Publication Date:
March-April 2004
Volume:
42
Issue:
2
Page(s):
91-93
Publisher:
Philippine College of Physicians

LocationCall NumberAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box no. 48 Fulltext Print Format (Request Document)