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Utility of Valsalva maneuver in the endoscopic pharyngeal observation
- Source :
- Esophagus. 17:323-329
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Metachronous cancer rate in the pharynx is high before and after the treatment of esophageal cancer. Endoscopic observation is difficult in the pharynx especially in the postcricoid area. Pharyngeal cancer in the postcricoid area has been often found in advanced stage. Valsalva maneuver has been reported to improve the visibility. From May 2017 we introduced a dedicated mouthpiece to conduct Valsalva maneuver. One hundred consecutive patients who had been observed throughout the pharynx by one endoscopist were enrolled. A total of 200 image files before and after introduction were made and reviewed by three endoscopists. We retrospectively evaluated the utility and safety of Valsalva maneuver. The visibility before introduction was Good in three cases, Moderate in 12 cases and Poor in 85 cases. Meanwhile, the visibility after introduction was Good in 58 cases, Moderate in 23 cases, and Poor in 19 cases (P
- Subjects :
- Male
medicine.medical_specialty
Esophageal Neoplasms
Valsalva Maneuver
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Pharyngeal cancer
Valsalva maneuver
Humans
Medicine
Early Detection of Cancer
Mouthpiece
Aged
Retrospective Studies
Hypopharyngeal Neoplasms
medicine.diagnostic_test
business.industry
Pharynx
Gastroenterology
Endoscopy
Neoplasms, Second Primary
Pharyngeal Neoplasms
Hypopharyngeal cancer
Equipment Design
Middle Aged
Esophageal cancer
medicine.disease
medicine.anatomical_structure
Cardiothoracic surgery
Case-Control Studies
030220 oncology & carcinogenesis
Female
030211 gastroenterology & hepatology
Radiology
Safety
business
Subjects
Details
- ISSN :
- 16129067 and 16129059
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Esophagus
- Accession number :
- edsair.doi.dedup.....ad5f2b9d1c2b4bbea64a15f5f816f131