الفهرس 
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Abstract
Summary and conclusion:-
Dysphagia is considered to be a worldwide problem affecting all ages, both genders and any residence. It has also its implication on the quality of life with complications that can lead to death.
Neoplastic lesions represented the 2nd most common cause for dysphagia; mostly malignant (20.8%), so any patient complains with dysphagia should be investigated well not to miss any pathology which might be dangerous especially with cases of cancers.
Close observation and follow up should be given to patients on treatment or have finished their regimen of radiotherapy and\ or chemotherapy as they are vulnerable to complications of even recurrence.
Smoking whether positive or passive is markedly increasing the prevalence and occurrence of complications in cases of malignancy that should be put in consideration in dealing with such cases.
Plummer Vinson Syndrome patients should have prolonged and close observation to detect any malignant change and continuous correction of iron deficiency
Cases which are diagnosed to have gastro-esophageal reflux should be treated and observed well as GERD itself can be predisposing factor for malignancy.
Health education should be in consideration especially in rural areas about early detection of malignancy, the importance of close follow up and importance of surgical options in comparison with complications of medical oncology options.
Meticulous care and observation should be given to children to avoid accidental foreign body or corrosive swallow, which represented 65.6% of cases presented with dysphagia as these, are preventable causes. After removal of F.B, the endoscopist should never neglect looking for a possible underlying lesion at site of impaction that was positive in 3.2% of our cases.
Using endoscopic evaluation should have the upper hand in dealing with cases of dysphagia whether the rigid or flexible endoscopy not to miss early pathological conditions which gives better management options.
Care of nutrition is essential even with temporary means till achieving complete recovery from dysphagia. As malnutrition is generally affecting patient’s health and his response to treatment.