{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T07:27:52Z","timestamp":1769498872969,"version":"3.49.0"},"reference-count":12,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1993,2]]},"abstract":"<jats:p>It is a common observation that stricture patients with severe dysphagia may have a wide lumen, while others with a narrow stricture have few swallowing complaints. In 64 patients with benign oesophageal stricture the dysphagia score (determined by questionnaire and by a test meal both based on nine different items of food scored according to their solidity) was compared with the diameter of the stricture measured radiologically by premeasured barium spheres. There was evidence of an association, but the correlation coefficient (r) was 0.544 (p = 0.0001), suggesting that the diameter of the stricture is an important, although not the sole, determinant of dysphagia. Stricture diameter explains 29.6% (r2) of variation in dysphagia score. The patients (mean dysphagia score 71 of a maximum possible 90) were divided into three groups according to the severity of oesophagitis (19 patients had minimal, 22 moderate and 23 severe oesophagitis). Analysis revealed the mean dysphagia score to be 83, 73, 59 in each group respectively. Dysphagia score of each group was significantly different from the others (Kruskal-Wallis test). Relating the dysphagia score to stricture diameter for each group gives correlation coefficient r = 0.379 (p = 0.110) in the minimal oesophagitis group, r = 0.651 (p = 0.001) in the moderate group, r = 0.583 (p = 0.004) in the severe group. If both diameter and severity of oesophagitis are included then 66.0% of the variation can be explained. It is concluded that the degree of oesophagitis is as important as luminal diameter in determining swallowing ability.<\/jats:p>","DOI":"10.1136\/gut.34.2.152","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"152-155","source":"Crossref","is-referenced-by-count":54,"title":["Oesophagitis is as important as oesophageal stricture diameter in determining dysphagia."],"prefix":"10.1136","volume":"34","author":[{"given":"M","family":"Dakkak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R C","family":"Hoare","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S C","family":"Maslin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J R","family":"Bennett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1993,2,1]]},"reference":[{"key":"ref_1","first-page":"614","article-title":"Nonobstructive dysphagia in reflux esophagitis","volume":"6","author":"Triadafilopoulos, G.","year":"1989","unstructured":"Triadafilopoulos G. Nonobstructive dysphagia in reflux esophagitis. AmJ Gastroenterol 1989; 6: 614-8.","journal-title":"AmJ Gastroenterol"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/00004836-199203000-00004","article-title":"A new dysphagia score with objective validation","volume":"14","author":"Dakkak, M.; Bennett, JR","year":"1992","unstructured":"Dakkak M, Bennett JR. A new dysphagia score with objective validation. J Clin Gastroenterol 1992; 14: 99-100.","journal-title":"J Clin Gastroenterol"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/S0009-9260(83)80414-0","article-title":"The radiological measurement of oesophageal stricture diameter","volume":"34","author":"Dyet, J.F.; Bennett, JR, Buckton; G, Ashworth; D.","year":"1983","unstructured":"Dyet JF, Bennett JR, Buckton G, Ashworth D. The radiological measurement of oesophageal stricture diameter. Clin Radiol 1983; 34: 647-9.","journal-title":"Clin Radiol"},{"key":"ref_4","first-page":"33","article-title":"Applied regression analysis","author":"Draper, N.; Smith, H.","year":"1980","unstructured":"Draper N, Smith H. Applied regression analysis. 2nd ed. John Wiley, New York 1980: 33-90.","edition":"2nd ed"},{"key":"ref_5","first-page":"1255","article-title":"A new objective measurement of esophageal lumen patency","volume":"84","author":"Goldschmid, S.; Boyce Jnr, H.W.; Brown, J.I.; Pg, Brady; Nord, H.J.; Lyman, G.H.","year":"1989","unstructured":"Goldschmid S, Boyce Jnr HW, Brown JI, Brady Pg, Nord HJ, Lyman GH. A new objective measurement of esophageal lumen patency. AmJ Gastroenterol 1989; 84: 1255-8.","journal-title":"AmJ Gastroenterol"},{"key":"ref_6","first-page":"897","article-title":"Esophageal peristaltic dysfunction","volume-title":"peptic esophagitis. Gastroenterology 1986; 91","author":"Kahrilas, P.J.; Dodds, W.J.; Hogan, W.J.; Kern, M.; Arndorfer, R.C.; Reece, A.","unstructured":"Kahrilas PJ, Dodds WJ, Hogan WJ, Kern M, Arndorfer RC, Reece A. Esophageal peristaltic dysfunction in peptic esophagitis. Gastroenterology 1986; 91: 897-904."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1007\/BF01324902","article-title":"Clinical and manometric findings in benign peptic strictures of the esophagus","volume":"24","author":"Ahtaridis, G.; Snape, W.J.; Cohen, S.","year":"1979","unstructured":"Ahtaridis G, Snape WJ, Cohen S. Clinical and manometric findings in benign peptic strictures of the esophagus. DigDis Sci 1979; 24: 858-61.","journal-title":"DigDis Sci"},{"key":"ref_8","first-page":"430","article-title":"The effect of incomplete obstruction on feline esophagus function with a clinical correlation","volume":"100","author":"Little, A.G.; Correnti, F.S.; Calleja, I.J.; Montag, A.G.; Chow, Y.C.; Ferguson, M.K.","year":"1986","unstructured":"Little AG, Correnti FS, Calleja IJ, Montag AG, Chow YC, Ferguson MK, et al. The effect of incomplete obstruction on feline esophagus function with a clinical correlation. Surgery 1986; 100: 430-6.","journal-title":"Surgery"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1136\/gut.29.2.157","article-title":"Oesophageal function before, during, and after healing of erosive oesophagitis","volume":"29","author":"Baldi, F.; Ferrarini, F.; Longanesi, A.; Angeloni, M.; Ragazzini, M.; Miglioli, M.","year":"1988","unstructured":"Baldi F, Ferrarini F, Longanesi A, Angeloni M, Ragazzini M, Miglioli M, et al. Oesophageal function before, during, and after healing of erosive oesophagitis. Gut 1988; 29: 157-60.","journal-title":"Gut"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/0016-5085(78)90133-6","article-title":"Oral cimetidine in reflux esophagitis: a double blind controlled trial","volume":"74","author":"Wesdrop, E.; Bartelsman, J.; Pape, K.; Dekker, W.; Tytgat, G.N.","year":"1978","unstructured":"Wesdrop E, Bartelsman J, Pape K, Dekker W, Tytgat GN. Oral cimetidine in reflux esophagitis: a double blind controlled trial. Gastroenterology 1978; 74: 821-4.","journal-title":"Gastroenterology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1136\/bmj.2.6188.472","article-title":"Cimetidine in treatment of reflux oesophagitis with peptic stricture","volume":"2","author":"Ferguson, R.; Dronfield, M.W.; Atkinson, M.","year":"1979","unstructured":"Ferguson R, Dronfield MW, Atkinson M. Cimetidine in treatment of reflux oesophagitis with peptic stricture. BMJ 1979; 2: 472-4.","journal-title":"BMJ"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1136\/gut.28.1.61","article-title":"Teeth and benign oesophageal stricture","volume":"28","author":"Maxton, D.G.; Ainley, C.C.; Grainger, S.L.; Morris, R.W.; Thompson, R.P.H.","year":"1987","unstructured":"Maxton DG, Ainley CC, Grainger SL, Morris RW, Thompson RPH. Teeth and benign oesophageal stricture. 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