ArticleJournal of the Canadian Association of Gastroenterology2018
Clinical Practice Guidelines for the Assessment of Uninvestigated Esophageal Dysphagia.
Article in Journal of the Canadian Association of Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Neuromuscular-related interventions for post-stroke dysphagia: a comprehensive narrative review.Frontiers in neuroscience · 2026Pooled it
- Esophageal and Oropharyngeal Dysphagia: Clinical Recommendations From the United European Gastroenterology and European Society for Neurogastroenterology and Motility.United European gastroenterology journal · 2025Guideline
- Consensus expert recommendations for management of dysphagia during hospital admission in Parkinson's disease.Journal of Parkinson's disease · 2026Review
- Review
- Approach to Patients with Dysphagia: Clinical Insights.Brain sciences · 2025Article
- A Modified Fiberoptic Endoscopic Evaluation of Swallowing Evaluating Esophageal Dysphagia by a Capsule: A Pilot Study.Dysphagia · 2025Article
- Initial encounter and discharge disposition of Medicare beneficiaries with post-stroke dysphagia.Frontiers in stroke · 2025Article
- Surgical Management of Intestinal Obstruction Secondary to Barium Impaction: Two Exemplary Cases.Cureus · 2024Article
- Gastrointestinal pathology in patients presenting with iron deficiency anaemia: A single-centre cross-sectional study.Journal of family medicine and primary care · 2024Article
- Do Asymptomatic Patients Need Endoscopy after Caustic Ingestion?Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2024Article
- Surgical Excision of a Laimer's Diverticulum: A Case Report and Review of the Literature.Maedica · 2024Article
- History and Science behind the Eating Assessment Tool-10 (Eat-10): Lessons Learned.The journal of nutrition, health & aging · 2023Review
- Esophageal Motility Disorders in Patients With Esophageal Barium Residue After Videofluoroscopic Swallowing Study.Annals of rehabilitation medicine · 2022Article
- Esophageal Pancreatic Acinar Heterotopia: Premalignant or Benign.Journal of medical cases · 2022Article
- A Comparative Assessment of the Diagnosis of Swallowing Impairment and Gastroesophageal Reflux in Canines and Humans.Frontiers in veterinary science · 2022Review
- Esophageal Dysphagia in Children: State of the Art and Proposal for a Symptom-Based Diagnostic Approach.Frontiers in pediatrics · 2022Review
- Lymphoma presented as dysphagia: a diagnosis hard to swallow.BMJ case reports · 2021Article
- A case report: cardiac dysphagia-a ghost of the past?European heart journal. Case reports · 2021Article
- A practical approach to the evaluation and management of gastrointestinal symptoms in patients with systemic sclerosis.Best practice & research. Clinical rheumatology · 2021Review
- [Approach of Dysphagia].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsOur aim is to review the literature and provide guidelines for the assessment of uninvestigated dysphagia.
methodsA systematic literature search identified studies on dysphagia. The quality of evidence and strength of recommendations were rated according to the Grading of Recommendation Assessment, Development, and Evaluation (GRADE) approach. Statements were discussed and revised via small group meetings, teleconferences, and a web-based platform until consensus was reached by the full group.
resultsThe consensus includes 13 statements focused on the role of strategies for the assessment of esophageal dysphagia. In patients presenting with dysphagia, oropharyngeal dysphagia should be identified promptly because of the risk of aspiration. For patients with esophageal dysphagia, history can be used to help differentiate structural from motility disorders and to elicit alarm features. An empiric trial of proton pump inhibitor therapy should be limited to four weeks in patients with esophageal dysphagia who have reflux symptoms and no additional alarm features. For patients with persistent dysphagia, endoscopy, including esophageal biopsy, was recommended over barium esophagram for the assessment of structural and mucosal esophageal disease. Barium esophagram may be useful when the availability of endoscopy is limited. Esophageal manometry was recommended for diagnosis of esophageal motility disorders, and high-resolution was recommended over conventional manometry.
conclusionsOnce oropharyngeal dysphagia is ruled out, patients with symptoms of esophageal dysphagia should be assessed by history and physical examination, followed by endoscopy to identify structural and inflammatory lesions. If these are ruled out, then manometry is recommended for the diagnosis of esophageal dysmotility.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.