Role of Barium Swallow in Globus Pharyngeus: An Observational StudyCorrespondence Address :
Dr. Ashish Chandra Agarwal,
Assistant Professor, Department of ENT, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow-226010, Uttar Pradesh, India.
Introduction: Globus pharyngeus is a common condition affecting around 46% of healthy individuals. Most common symptom is feeling of lump in throat. It is a diagnostic challenge and is difficult to treat. Barium swallow is one of the investigations which can rule out organic pathology. It is a safe procedure with rare complications.
Aim: To assess the utility of barium swallow in patients with globus like symptoms and normal Ear, Nose, Throat (ENT) examination.
Materials and Methods: A prospective study was done at a tertiary care hospital in the state of U.P. in India on 100 patients who came to the ENT Out-Patient Department (OPD) with complaints of throat pain, sticking sensation in the throat or a feeling of lump in the throat. Patients were examined clinically which included an indirect laryngoscopy examination. They were advised routine blood investigations and a barium swallow. The association between chief complaints of the study participants i.e., symptoms reported and findings of barium swallow (normal/abnormal) were analysed using cross-tabulations and chi-square test where p-value <0.5 was considered significant.
Results: Out of 100 patients, 9 were found to have an abnormal barium swallow. Association between barium swallow and symptoms of lump in throat, pain and sticking sensation was found to be significant. Symptom of burning sensation was not found to be significant.
Conclusion: Barium swallow examination proved to be useful in investigating patients with symptoms of globus pharyngeus. It also helped in excluding any life-threatening illness and in reassuring the patient.
Contrast oesophagogram, Gastroesophageal reflux, Lump in throat
Taruni Lalchandani, Ashish Chandra Agarwal, Sugandha Jauhari, Shamrendra Narayan, Tanu Misra. ROLE OF BARIUM SWALLOW IN GLOBUS PHARYNGEUS: AN OBSERVATIONAL STUDY. Journal of Clinical and Diagnostic Research [serial online] 2019 October [cited: 2019 Oct 22 ]; 13:MC01-MC04. Available from
Date of Submission: May 27, 2019
Date of Peer Review: Jun 08, 2019
Date of Acceptance: Aug 29, 2019
Date of Publishing: Oct 01, 2019
• Financial or Other Competing Interests: No
• Was Ethics Commettee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS: [Jain H et al.]
• Plagiarism X-checker: May 28, 2019
• Manual Googling: Aug 28, 2019
• iThenticate Software: Sep 12, 2019 (11%)
Etymology: Author Origin
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)