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Dysphagia classification

Introduction

Overview

Overview

Dysphagia may be classified based on the location into oropharyngeal dysphagia or esophageal dysphagia. Dysphagia may also be classified based on etiology into further six subclasses which include infectious, metabolic, myopathic, neurological, structural and, iatrogenic.

Classification of Dysphagia

Classification of Dysphagia

Dysphagia may be classified based on the location into two major types:[1][2][3]

Dysphagia can also be classified based on the etiology into six sub classes:

Oropharyngeal Dysphagia

Esophageal Dysphagia

Functional dysphagia

  • Dysphagia due to no organic cause.
  • Diagnosis of exclusion.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Classification of Dysphagia
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Based on etiology
 
 
 
 
 
 
 
 
 
 
 
 
 
Based on location
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Metabolic
 
Infectious
 
Myopathic
 
Neurological
 
Structural
 
Iatrogenic
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
•Amyloidosis
•Cushings syndrome
•Thyrotoxicosis
•Wilsons disease
 
• Mucositis
•Diphtheria
•Botulism
•Lymes disease
•Syphilis
 
•Connective tissue disease
•Dermatomyositis
•Myasthenia gravis
•Myotonic dystrophy
• Polymyositis
•Sarcoidosis
•Paraneoplastic syndromes
 
•Brainstem tumors
•Head trauma
• Stroke
• Cerebral palsy
• Gullian barre syndrome
• Huntington disease
• Multiple sclerosis
• Postpolio syndrome
• Tardive dyskinesia
• Metabolic encephalopathies
• Amyotrophic lateral sclerosis
• Parkinson’s disease
• Dementia
 
• Cricopharyngeal bar
• Zenkers diverticulum
• Cervical webs
• Oropharyngeal tumors
• Osteophytes and skeletal abnormalities
•Congenital(cleft palate,diverticula,pouches)
 
•Medication side effects(neuroleptics)
• Radiation
•Corrosive(pill injury,intentional)
•Postsurgical muscular or neurogenic
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Esophageal dysphagia
 
 
 
 
 
 
 
Oropharyngeal dysphagia
References

References

  1. ↑ Wilcox CM, Alexander LN, Clark WS (1995). “Localization of an obstructing esophageal lesion. Is the patient accurate?”. Dig Dis Sci. 40 (10): 2192–6. PMID 7587788.
  2. ↑ Kruger D (2014). “Assessing esophageal dysphagia”. JAAPA. 27 (5): 23–30. doi:10.1097/01.JAA.0000446227.85554.fb. PMID 24691181.
  3. ↑ Scheurer U (1991). “[Dysphagia]”. Ther Umsch. 48 (3): 150–61. PMID 2042117.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]