{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:34:43Z","timestamp":1753439683829,"version":"3.37.3"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Dysphagia is a common symptom in patients presenting to the gastroenterologist. However, extraluminal causes of dysphagia may be missed by endoluminal diagnosis alone. This case report presents a 72-year-old man with slowly progressive dysphagia that occurred with the ingestion of certain solid foods and was intermittently associated with severe aspiration. Esophagogastroduodenoscopy and barium swallow study were both normal. However, a conventional x-ray and computed tomography (CT) scan of the neck revealed diffuse idiopathic skeletal hyperostosis (Forestier's disease) of the anterior cervical spine (C2\u2013C7). Fiber endoscopic evaluation of swallowing (FEES) revealed functionally incomplete emptying of the oral cavity during swallowing, and the patient reported dysphagia score (EAT-10) was 23 (normal &lt; 3). Surgical removal of the hyperostosis (C3\u2013C6) resulted in immediate and sustained improvement in dysphagia at 3 months.<\/jats:p>","DOI":"10.1055\/a-2367-8409","type":"journal-article","created":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T23:05:48Z","timestamp":1727305548000},"page":"2061-2064","source":"Crossref","is-referenced-by-count":1,"title":["Dysphagia with recurrent severe aspiration due to cervical diffuse idiopathic skeletal hyperostosis (Forestier\u2019s disease)"],"prefix":"10.1055","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1597-3123","authenticated-orcid":false,"given":"Seyed Alireza","family":"Shahvaran","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Infectiology, Helios Kliniken Schwerin, University Campus of Medical School Hamburg, Schwerin, Germany"},{"name":"Medical School Hamburg, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Kliment","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Infectiology, Helios Kliniken Schwerin, University Campus of Medical School Hamburg, Schwerin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Prax","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Infectiology, Helios Kliniken Schwerin, University Campus of Medical School Hamburg, Schwerin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Paul","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Spinal Surgery, Helios Kliniken Schwerin, University Campus of Medical School Hamburg, Schwerin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Heese","sequence":"additional","affiliation":[{"name":"Medical School Hamburg, Hamburg, Germany"},{"name":"Department of Neurosurgery and Spinal Surgery, Helios Kliniken Schwerin, University Campus of Medical School Hamburg, Schwerin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3273-8435","authenticated-orcid":false,"given":"Daniel","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Infectiology, Helios Kliniken Schwerin, University Campus of Medical School Hamburg, Schwerin, Germany"},{"name":"Medical School Hamburg, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,9,25]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1055\/s-0039-1688837","article-title":"Presbyphagia to Dysphagia: Multiple Perspectives and Strategies for Quality Care of Older Adults","volume":"40","author":"AM Namasivayam-MacDonald","year":"2019","journal-title":"Semin Speech Lang"},{"issue":"02","key":"ref2","first-page":"97","article-title":"Dysphagia: Evaluation and Collaborative Management","volume":"103","author":"JM Wilkinson","year":"2021","journal-title":"Am Fam Physician"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1016\/j.spinee.2011.09.014","article-title":"Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction","volume":"11","author":"JJ Verlaan","year":"2011","journal-title":"Spine J"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1136\/ard.9.4.321","article-title":"Senile ankylosing hyperostosis of the spine","volume":"9","author":"J Forestier","year":"1950","journal-title":"Ann Rheum Dis"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1148\/119.3.559","article-title":"Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH)","volume":"119","author":"D Resnick","year":"1976","journal-title":"Radiology"},{"issue":"09","key":"ref6","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1016\/j.spinee.2022.03.002","article-title":"Diffuse idiopathic skeletal hyperostosis of the cervical spine causing dysphagia and airway obstruction: an updated systematic review","volume":"22","author":"NI Harlianto","year":"2022","journal-title":"Spine J"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2008.01.010","article-title":"Metabolic syndrome and cardiovascular risk in patients with diffuse idiopathic skeletal hyperostosis","author":"R Mader","year":"2009","journal-title":"Seminars in Arthritis and Rheumatism"},{"issue":"02","key":"ref8","first-page":"78","article-title":"Incidence of diffuse idiopathic skeletal hyperostosis from a model of dysphagia","volume":"71","author":"FJ Garc\u00eda Callejo","year":"2020","journal-title":"Acta Otorrinolaringol Esp"},{"issue":"06","key":"ref9","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1080\/00016489.2016.1272136","article-title":"Swallowing disorders among patients with diffuse idiopathic skeletal hyperostosis","volume":"137","author":"M Abdel-Aziz","year":"2017","journal-title":"Acta Otolaryngol"},{"issue":"01","key":"ref10","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1177\/2050640620903213","article-title":"European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations","volume":"8","author":"RAB Oude Nijhuis","year":"2020","journal-title":"United European Gastroenterol J"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1177\/000348940811701210","article-title":"Validity and reliability of the Eating Assessment Tool (EAT-10)","volume":"117","author":"PC Belafsky","year":"2008","journal-title":"Annals of Otology, Rhinology & Laryngology"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1007\/s00455-017-9872-5","article-title":"Validation and Psychometric Properties of the German Version of the SWAL-QOL","volume":"33","author":"EM Kraus","year":"2018","journal-title":"Dysphagia"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"103120","DOI":"10.1016\/j.amsu.2021.103120","article-title":"Anterior cervical spine surgery for treatment of secondary dysphagia associated with cervical myelopathy in patient with Forestier\u2019s disease","volume":"72","author":"W Liawrungrueang","year":"2021","journal-title":"Ann Med Surg"},{"issue":"06","key":"ref14","doi-asserted-by":"publisher","first-page":"105218","DOI":"10.1016\/j.jbspin.2021.105218","article-title":"Otolaryngologic manifestations of diffuse idiopathic skeletal hyperostosis (Forestier\u2019s disease): A systematic review of the literature","volume":"88","author":"P Cherfane","year":"2021","journal-title":"Joint Bone Spine"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.jocn.2019.05.057","article-title":"Long-term results after surgical treatment of diffuse idiopathic skeletal hyperostosis (DISH) causing dysphagia","volume":"67","author":"C Scholz","year":"2019","journal-title":"J Clin Neurosci"},{"issue":"11","key":"ref16","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.1007\/s00586-009-1133-3","article-title":"Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis","volume":"18","author":"K Miyamoto","year":"2009","journal-title":"Eur Spine J"}],"container-title":["Zeitschrift f\u00fcr Gastroenterologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2367-8409.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T00:01:02Z","timestamp":1733529662000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2367-8409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,25]]},"references-count":16,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,6]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2367-8409","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-2771","1439-7803"],"issn-type":[{"type":"print","value":"0044-2771"},{"type":"electronic","value":"1439-7803"}],"subject":[],"published":{"date-parts":[[2024,9,25]]}}}