Globus jugularis and dysphagia in patients with hiatus hernia
2010 (English)In: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 267, no 2, 251-254 p.Article in journal (Refereed) Published
The aim of the article was to study if there is any relationship between globus sensation in the jugular fossa (GJ), intermittent esophageal dysphagia (IED), and the presence of a hiatus hernia, and if GJ can be relieved after hiatus hernia repair. 167 patients with a hiatus hernia (Group A) and 61 other patients with hiatus hernia and gastroesophageal reflux disease who were surgically treated with Nissen fundoplication (Group B), filled in a symptom questionnaire on GJ and IED. GJ was found in 66% and IED in 68% of patients in group A. In group B, 49% had GJ and 64% IED before surgery. At surgical follow-up 16% (P < 0.005) and 43% (P < 0.05) had GJ and IED, respectively. The combination of GJ and IED was found in 28% of IED patients before operation and in 31% at surgical follow-up. The high frequency of GJ in patients with hiatus hernia and the significant relief of GJ after hiatus hernia repair imply that GJ most likely is a referred sensation from the esophagus. IED and GJ are two parallel phenomena in patients with hiatus hernia, but do not seem to have any causal relationship.
Place, publisher, year, edition, pages
2010. Vol. 267, no 2, 251-254 p.
Dysphagia - Fundoplication - Globus sensation - Globus jugularis - Hiatus hernia - Lump in the throat
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-20344DOI: 10.1007/s00405-009-1038-0PubMedID: 19597835OAI: oai:DiVA.org:liu-20344DiVA: diva2:234040
On the day of the defence date the status of this article was Submitted.2009-09-042009-09-042016-01-07Bibliographically approved