A RELIEF FROM 18 YEARS OF TUBE FEEDING A CASE REPORT

Cricopharyngeal myotomy improves dysphagia of neurogenic origin to a satisfactory to excellent subjective results in up to 75 percent of patients. The literature on cricopharyngeal myotomy for neurogenic dysphagia is few. In this background, we report a 44 year female presented to our department who has been fed through feeding gastrostomy for duration of 18 years, which she had undergone for neurogenic dysphagia as a result of a stroke. She was further evaluated in our department to find out exact cause of dysphagia in February 2011 including a complete neurological assessment by neurologists. We excluded myogenic and organic causes for dysphagia by performing esophageal manometry, upper GI Endoscopic examination, Laryngoscopic examination, MRI of brain, Barium swallow. A Cricopharyngeal myotomy was planned and was performed on 1-3-2011. Patient had an uneventful post operative recovery and has been able to swallow solid and liquid foods till now.