Dysphagia. A practical approach to diagnosis
Yang, R.D.; Valenzuela, J.E.
Postgraduate Medicine 92(7): 129-33 136 146
1992
ISSN/ISBN: 0032-5481 PMID: 1437910 Document Number: 388206
Our diagnostic approach to a patient with dysphagia begins with detailed history taking and physical examination. On the basis of findings, a radiographic and/or endoscopic study of the esophagus is done. We usually have barium-swallow radiography done initially, and if the radiographs are equivocal, upper gastrointestinal endoscopy is performed. Manometric studies are reserved for patients with suspected motility disorders.