Plummer-Vinson syndrome. Revisited
Rosof, B.M.; Nagler, R.W.
New York State Journal of Medicine 75(3): 414-415
1975
ISSN/ISBN: 0028-7628 PMID: 1055874 Document Number: 4468
The evaluation of dysphagia should always include esophagoscopic examination. The simultaneous presence of anemia, particularly with guaiacnegative stools, should lead to careful cinefluoroscopic studies to locate a possible web. Esophagoscopy should be accomplished with an instrument such as the fiberscope, which will allow complete examination of the lower pharynx and upper esophagus, since blind passage of a rigid instrument with an obturator tip may rupture the web prior to its being visualized. The latter is, however, therapeutic.
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