Letters

Investigating and managing chronic dysphagia: Dysphagia should prompt urgent gastroenterological referral

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7399.1147-d (Published 22 May 2003) Cite this as: BMJ 2003;326:1147
  1. Hal L Spencer, specialist registrar in gastroenterology (happyhal@cheerful.com),
  2. Stuart Riley, consultant gastroenterologist
  1. Northern General Hospital, Sheffield S5 7AU

    EDITOR—Leslie et al reviewed the investigation and management of chronic dysphagia well from an ear, nose, and throat stand-point,1 but we think that an article directed at a general readership should have emphasised gastroenterological causes more.

    From a gastrointestinal perspective, dysphagia is an alarm symptom that should prompt urgent referral to exclude cancer. Government directives have led …

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