Clinical Esophagology and Transnasal Esophagoscopy

First Edition

Peter C. Belafsky

Details: 228 pages, Full Color, Hardcover, 7" x 10"

ISBN13: 978-1-94488-391-1

© 2019 | Available


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Clinical Esophagology and Transnasal Esophagoscopy is a comprehensive book covering the diagnosis and management of esophageal disorders for dysphagia clinicians. Nearly two thirds of people with solid food dysphagia will have an esophageal contribution to their swallowing complaint. One third of those with cervical dysphagia will have an esophageal etiology for their symptom. It is essential that all dysphagia clinicians have an advanced knowledge of the esophageal phase of deglutition.

Some of the most common causes of solid food dysphagia include gastroesophageal reflux disease and reflux esophagitis, esophageal webs and rings, allergic (eosinophilic) esophagitis, and hiatal hernia. This book addresses the educational needs of otolaryngologists and speech-language pathologists and will serve as a valuable resource for clinicians of all educational backgrounds and training levels.

Also included is a PluralPlus companion website that includes a selection of esophagoscopy videos for review of key concepts. Clinical Esophagology and Transnasal Esophagoscopy provides the dysphagia clinician with all they need to know to diagnose and manage esophageal disorders.


"Coverage starts with normal anatomy and physiology, but stressing radiologic, manometric and pH studies of function. Endoscopic colour photography and monochrome imaging abounds, but especially memorable are the many illustrations of high resolution manometry pressure topography plots. . . . 

The last half of the book then deals with such disorders as oesophagitis, strictures and diverticula, reflux and tumours. A personal favourite here was that on Barrett’s oesophagus. Notably its 28 references include one from 2017, suggesting the work is well updated. Again that reminder that it is the reduced sensation of heartburn we must watch out for and not the converse.

This book is very easy reading, it covers a somewhat neglected territory in UK Otolaryngology practice and it is cleverly written to appeal to our speciality. I cannot count how many times I read something and thought 'I did not know that' which must be a significant recommendation, I hope."
 —Liam M Flood FRCS FRCSI, Middlesbrough UK, in the Journal of Laryngology & Otology (2019)

"The text provides a well-organized introduction to anatomy and physiology of swallowing mechanisms with over 100 high-quality images related to esophageal manometry, radiology, and esophagoscopy. The most common techniques of evaluating esophageal pathologies are described, including esophagrams and manometry, which knowledge of is important for any otolaryngologist. The technique of transnasal esophagoscopy is described well, with helpful tips and tricks to ensure a successful examination. This transitions nicely to frequently encountered pathologies, with excellent supporting colored photographs. This book provides a succinct and thorough introduction to and review of clinical esophagology and is valuable for otolaryngologists in all stages of their careers."
—Mary Lauren Worthen MD, Drexel University College of Medicine, in Ear, Nose, & Throat Journal (May 2019)

"Transnasal esophagoscopy is a comparatively new domain for ENT surgeons and this textbook has helped the educational needs from an ENT perspective. The text is very well-written, the language is easy to grasp and there are multiple classification tools for diagnosing, grading and treating various esophageal conditions. The radiological, manometric and clinical co-relation of the pictures and text of various esophageal pathologies is very helpful. The causes of dysphagia and globus pharyngeus symptoms are very well-explained and all conditions associated with dysphagia are included. There are numerous pictures within the text. [...] In summary I recommend this book to every senior ENT trainee with an interest in head and neck surgery. This book should be on the desk of anyone who is planning to set up a clinic for esophageal disorders."
—Asad Qayyum, Consultant ENT Surgeon, in ENT & Audiology News (August 2020)


Chapter 1. Esophageal Anatomy and Physiology
Chapter 2. Transnasal Esophagoscopy (TNE)
Chapter 3. The Videofluoroscopic Esophagram
Chapter 4. High-Resolution Esophageal Manometry
Chapter 5. Ambulatory pH and Impedance Monitoring
Chapter 6. Esophagitis
Chapter 7. Upper Esophageal Sphincter Dysfunction
Chapter 8. Esophageal Webs and Rings and Diverticula
Chapter 9. Esophageal Motility Disorders
Chapter 10. Esophageal Stricture
Chapter 11. Hiatal Hernia
Chapter 12. Barrett's Esophagus
Chapter 13. Esophageal Neoplasia


Peter C. Belafsky

Peter C. Belafsky, MD, PhD, MPH, is Professor and Vice Chairman of the Department of Otolaryngology/Head and Neck Surgery and the Director of the Voice and Swallowing Center at the University of California, Davis. He holds a joint appointment in the Department of Otolaryngology at the UC Davis School of Medicine and the Department of Medicine and Epidemiology at the UC Davis School of Veterinary Medicine. He is the recipient of numerous awards and grants and was the lead investigator on the world's second laryngeal transplantation. He has authored over 150 peer-reviewed manuscripts, holds numerous patents, has edited and authored five books, is the cofounder of two medical device startup companies, and is the past president of the Dysphagia Research Society. Dr. Belafsky's primary passion is the innovative treatment of profound swallowing disorders. He has created a medical device that can manually control the upper esophageal sphincter, is working on an innovative dilator for upper esophageal sphincter stenosis, is developing a comprehensive swallow propulsion system, and is evaluating the use of muscle stem cells for dysphagia rehabilitation. He has dedicated his career to improving the lives of people with profound swallowing impairments.

Learn More

Purchasers of this book receive complimentary access to supplementary materials hosted on a PluralPlus companion website.

To access the materials, log in to the website using the URL and Access Code located inside the front cover of your copy of Clinical Esophagology and Transnasal Esophagoscopy.

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