The Pulmonary Complications of Dysphagia

作者：John R. Belcher · 发表于：Thorax · 年份：1949 · DOI：10.1136/thx.4.1.44 · 被引用次数：74 · 研究领域：Esophageal and GI Pathology、Dysphagia Assessment and Management、Tracheal and airway disorders

London1940 to 1945 complained of slight dysphagia on hurrying food.In 1945 he developed " pneumonia."Acidfast bacilli were found in the sputum.A radiograph (Plate Ila) showed bilateral mid-zone infiltration with a suggestion of cavitation on the right side.Rapid clinical and radiological improvement ensued until his radiograph was almost clear six months later.In March, 1948, a Heller's operation was performed (N.R. Barrett) for increasing dysphagia.He had no pulmonary symptoms in the interim, the radiograph was then clear (Plate Ilb) and no acid-fast bacilli were found in his oesophagus or sputum.Case 3. Achalasia associated with " typical" fibrosis.-Aman aged 50, whose abnormality was discovered on mass radiography (Eley, 1948), had had slight dysphagia for years with recent dyspnoea and repeated bronchitis.The radiograph (Plate Illa) is characteristic of the condition; this and his symptoms have now remained unchanged for a year.Case 4. Carcinoma of lower third of oesophagus and lung abscess.-Aman aged 69 gave a three weeks' history of cough and purulent sputum.A radiograph showed a left dorsal-lobe lung abscess with a fluid level.He improved until he was symptom-free one month later.The radiograph now showed no cavity, on December 13,