Читать книгу The Esophagus - Группа авторов - Страница 94

In conclusion, OPD results from dysfunction of one or more of the highly coordinated events of the oropharyngeal phase of swallowing, leading to abnormal transport and/or airway protection. Whether due to one of a variety of muscular disorders, peripheral and central nervous system disorders, malignancies of the oropharyngeal cavity, or surgical and radiation therapy for these malignancies, the symptoms of OPD are highly specific and should not be dismissed as psychogenic. Physical examination should focus on detection of neurologic deficits. Although several useful diagnostic modalities are available, the video‐fluoroscopic recording of a modified barium swallow is the diagnostic modality of choice for initial investigation of the patient with OPD. Diagnosis and optimal management of OPD require a systematic approach by a well‐trained multidisciplinary team under the guidance of a single managing physician.