Journal of ENT Surgery Research(JESR)

Independent Researcher, New Zealand

Publications

• Short Communication   
  Diagnostic Reframing of Dysphagia: From Presumed Reflux to Eosinophilic Oesophagitis in an Otolaryngology Context
  Author(s): Bruce H. Knox*
  
  Background: Dysphagia presenting to otolaryngology services is frequently attributed to laryngopharyngeal reflux (LPR). However, Eosinophilic esophagitis (EoE) may mimic reflux-related symptoms, leading to diagnostic delay. Objective: To examine the consequences of reflux-based diagnostic anchoring in a patient whose symptoms improved following Gastric peroral endoscopic myotomy yet were ultimately attributable to EoE. Methods: Narrative-informed clinical analysis supported by current literature, with emphasis on ENT-relevant presentation and diagnostic pathways. Results: Symptom overlap between LPR, motility disorders, and EoE contributed to misattribution. Apparent clinical improvement after G-POEM created false diagnostic closure, delaying histological diagnosis. Conc.. Read More»
  

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