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Plummer-Vinson syndrome/esophageal web

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Contents of this page:

Illustrations

Esophagus and stomach anatomy
Esophagus and stomach anatomy

Alternative names    Return to top

Paterson-Kelly syndrome; Sideropenic dysphagia

Definition    Return to top

Plummer-Vinson syndrome is a disorder linked to severe, long-term iron deficiency anemia, which causes swallowing difficulty due to web-like membranes of tissue growing in the throat.

Causes, incidence, and risk factors    Return to top

The cause of Plummer-Vinson syndrome is unknown. Genetic factors and nutritional deficiencies may play a role. Women are at higher risk than men.

Symptoms    Return to top

Signs and tests    Return to top

Upper GI series or upper endoscopy may reveal the web. Tests to diagnose anemia and/or iron deficiency may be useful.

Treatment    Return to top

Patients with Plummer-Vinson syndrome should receive iron supplementation. This may improve the difficulty swallowing. If not, the web can be dilated during upper endoscopy to allow normal swallowing and passage of food.

Expectations (prognosis)    Return to top

Patients generally respond to treatment.

Complications    Return to top

There is risk of perforation of the esophagus with the use of dilators for treatment.

There have been reports of an association between Plummer-Vinson syndrome and esophageal cancer.

Calling your health care provider    Return to top

Call your health care provider if food gets stuck after you swallow it or if you have severe fatigue and weakness.

Prevention    Return to top

Good nutrition with adequate intake of iron may prevent this disorder.

Update Date: 1/2/2003

Updated by: Jenifer K. Lehrer, M.D., Department of Gastroenterology, Graduate Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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