Flexible esophagogastroscopy – which findings can be seen by a gastroenterologist in the hypopharynx and larynx?

Czech version

Authors: K. Zeleníkihash2ihash4 ^{1,2 2,3 2,4}; J. Kuchař ³; J. Chalupa ³; Pavel Komínek ¹
Authors‘ workplace: Otorinolaryngologická klinika, FN Ostrava ¹; LF OU v Ostravě ²; Beskydské gastrocentrum, Interní oddělení, Nemocnice ve Frýdku-Místku, p. o., Frýdek-Místek ³; Centrum péče o zažívací trakt, Vítkovická nemocnice, a. s., Ostrava ⁴
Published in: Gastroent Hepatol 2012; 66(4): 289-293
Category: Digestive Endoscopy: Review Article

Overview

Examination of the larynx and hypopharynx and treatment of pathologies in this area falls traditionally within the competence of an otolaryngologist. The dynamic development of gastrointestinal endoscopy and better control of endoscopes provides a very good tool for the evaluation of the hypopharynx and larynx during introduction of the endoscope into the oesophagus by the endoscopist. He or she can thus significantly contribute to the detection of early stages of the carcinoma, to reducing morbidity and improving the prognosis of the disease. This is the “added value” for the examined patient, which does not burden the patient or significantly prolong the length of the endoscopy. The aim of the article is to present an overview of the most common pathologies found in the larynx and hypopharynx.

Key words:
hypopharynx – larynx – esophagogastroscopy – pathology – cancer

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
23. 4. 2012

Accepted:
18. 5. 2012

Sources

1. Dršata J, Vydrová J, Zeleník K et al. Zánětlivá onemocnění hrtanu. In: Jakub Dršata a kolektiv. Foniatrie Hlas. 1. vyd. Havlíčkův Brod: Tobiáš 2010: 163–179.

2. Concus, AP, Tran TPN, Sanfilippo NJ et al. Malignant laryngeal lesions. In: Lalvani AK. Current Diagnosis and Treatment in Otolaryngology – Head and Neck Surgery. 1. ed. New York: Lange 2008: 437–455.

3. Kopřivová H, Zeleník K, Komínek P. Současné možnosti léčby recidivující papilomatózy hrtanu. Otorinolaryng a Foniat 2010; 59(4): 235–240.

4. Wareing M, Obholzer R. Benign Laryngeal lesions. In: Lalvani AK. Current Diagnosis and Treatment in Otolaryngology – Head and Neck Surgery. 1. ed. New York: Lange 2008: 430–436.

5. Zeleník K, Schwarz P, Urban O et al. Extraezofageální reflux up-to-date. Čes a Slov Gastroent a Hepatol 2010; 64(6): 10–14.

6. Watanabe A, Hosokawa M, Taniguchi M et al. Impact of endoscopic screening on early detection of hypopharyngeal cancer. Head Neck 2006; 28(4): 350–354.

7. Muto M, Minashi K, Yano T et al. Early detection of superficial squamous cell carcinoma in the head and neck region and esophagus by narrow band imaging: a multicenter randomized controlled trial. J Clin Oncol 2010; 28(9): 1566–1572.

8. Nonaka S, Saito Y. Endoscopic diagnosis of pharyngeal carcinoma by NBI. Endoscopy 2008; 40(4): 347–351.

9. Dubuc J, Legoux JL, Winnock M et al. Endoscopic screening for esophageal squamous-cell carcinoma in high-risk patients: a prospective study conducted in 62 French endoscopy centers. Endoscopy 2006; 38(7): 690–695.

10. Vítek P, Komínek P, Kajzrlíková I et al. Endoskopická diagnostika a léčba spinocelulárního karcinomu jícnu je možná i v populaci s nízkou incidencí tohoto onemocnění. Endoskopie 2009; 18(4): 161–166.

11. van Oijen, MG, Slootweg PJ. Oral field cancerization: carcinogen-induced independent events or micrometastatic deposits? Cancer Epidemiol Biomarkers Prev 2000; 9(3): 249–256.

12. Morita M, Kuwano H, Ohno S et al. Multiple occurrence of carcinoma in the upper aerodigestive tract associated with esophageal cancer: reference to smoking, drinking and family history. Int J Cancer 1994; 58(2): 207–210.

13. Nonaka S, Saito Y, Oda I et al. Narrow--band imaging endoscopy with magnification is useful for detecting metachronous superficial pharyngeal cancer in patients with esophageal squamous cell carcinoma. J Gastroenterol Hepatol 2010; 25(2): 264–269.

14. Vitek P, Kajzrlikova I, Hanousek M et al. Laryngeal and hypopharyngeal photographies recorded during esophagogastroduodenoscopy are useful for diagnosis of laryngeal and hypopharyngeal diseases. Endoscopy 2011; 43 (Suppl 1): A224.