A RELIEF FROM 18 YEARS OF TUBE FEEDING A CASE REPORT

Abstract

Cricopharyngeal myotomy improves
dysphagia of neurogenic origin to a satisfactory
to excellent subjective results in
up to 75 percent of patients. The literature
on cricopharyngeal myotomy for
neurogenic dysphagia is few. In this
background, we report a 44 year female
presented to our department who has
been fed through feeding gastrostomy for
duration of 18 years, which she had undergone
for neurogenic dysphagia as a
result of a stroke. She was further evaluated
in our department to find out exact
cause of dysphagia in February 2011 including
a complete neurological assessment
by neurologists. We excluded myogenic
and organic causes for dysphagia
by performing esophageal manometry,
upper GI Endoscopic examination,
Laryngoscopic examination, MRI of
brain, Barium swallow. A Cricopharyngeal
myotomy was planned and was
performed on 1-3-2011. Patient had an uneventful
post operative recovery and has
been able to swallow solid and liquid foods
till now.