Dysphagia diagnostic study of choice: Difference between revisions
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===Video Fluoroscopic Swallowing Study=== | ===Video Fluoroscopic Swallowing Study=== | ||
Video Fluoroscopic Swallowing Study(VFSS), also known as modified barium swallow, is used as the initial study for the evaluation of oropharyngeal dysphagia.<ref name="pmid17549634">{{cite journal| author=Mainie I, Tutuian R, Patel A, Castell DO| title=Regional esophageal dysfunction in scleroderma and achalasia using multichannel intraluminal impedance and manometry. | journal=Dig Dis Sci | year= 2008 | volume= 53 | issue= 1 | pages= 210-6 | pmid=17549634 | doi=10.1007/s10620-007-9845-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17549634 }} </ref><ref name="pmid23150831">{{cite journal| author=Herbella FA| title=Critical analysis of esophageal multichannel intraluminal impedance monitoring 20 years later. | journal=ISRN Gastroenterol | year= 2012 | volume= 2012 | issue= | pages= 903240 | pmid=23150831 | doi=10.5402/2012/903240 | pmc=3488400 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23150831 }} </ref><ref name="pmid11213249">{{cite journal| author=Perry L, Love CP| title=Screening for dysphagia and aspiration in acute stroke: a systematic review. | journal=Dysphagia | year= 2001 | volume= 16 | issue= 1 | pages= 7-18 | pmid=11213249 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11213249 }} </ref> | Video Fluoroscopic Swallowing Study(VFSS), also known as modified barium swallow, is used as the initial study for the evaluation of oropharyngeal dysphagia.<ref name="pmid17549634">{{cite journal| author=Mainie I, Tutuian R, Patel A, Castell DO| title=Regional esophageal dysfunction in scleroderma and achalasia using multichannel intraluminal impedance and manometry. | journal=Dig Dis Sci | year= 2008 | volume= 53 | issue= 1 | pages= 210-6 | pmid=17549634 | doi=10.1007/s10620-007-9845-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17549634 }} </ref><ref name="pmid23150831">{{cite journal| author=Herbella FA| title=Critical analysis of esophageal multichannel intraluminal impedance monitoring 20 years later. | journal=ISRN Gastroenterol | year= 2012 | volume= 2012 | issue= | pages= 903240 | pmid=23150831 | doi=10.5402/2012/903240 | pmc=3488400 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23150831 }} </ref><ref name="pmid11213249">{{cite journal| author=Perry L, Love CP| title=Screening for dysphagia and aspiration in acute stroke: a systematic review. | journal=Dysphagia | year= 2001 | volume= 16 | issue= 1 | pages= 7-18 | pmid=11213249 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11213249 }} </ref> | ||
It provides the following information about the oropharyngeal swallowing mechanism:<ref name="pmid18230864">{{cite journal| author=Logemann JA, Gensler G, Robbins J, Lindblad AS, Brandt D, Hind JA et al.| title=A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson's disease. | journal=J Speech Lang Hear Res | year= 2008 | volume= 51 | issue= 1 | pages= 173-83 | pmid=18230864 | doi=10.1044/1092-4388(2008/013) | pmc=2894528 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18230864 }} </ref> | |||
* Delay in initiation of pharyngeal swallowing | |||
* Nasopharyngeal regurgitation | |||
* Residue of ingestate within the pharyngeal cavity after swallowing | |||
* Aspiration of ingestate | |||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2], Feham Tariq, MD [3]
Overview
Diagnostic Study of Choice
Esophageal dysphagia
Endoscopy
The endoscopy should be performed when:
- The patient presented with symptoms of difficulty swallowing, painful swallowing, and aspiration
- Standard test performed when patient has risk of developing pneumonia and diagnosing swallowing difficuties
Video
{{#ev:youtube|xu_YYOAlZEw}}
Oropharyngeal dysphagia
Video Fluoroscopic Swallowing Study
Video Fluoroscopic Swallowing Study(VFSS), also known as modified barium swallow, is used as the initial study for the evaluation of oropharyngeal dysphagia.[1][2][3]
It provides the following information about the oropharyngeal swallowing mechanism:[4]
- Delay in initiation of pharyngeal swallowing
- Nasopharyngeal regurgitation
- Residue of ingestate within the pharyngeal cavity after swallowing
- Aspiration of ingestate
References
- ↑ Mainie I, Tutuian R, Patel A, Castell DO (2008). "Regional esophageal dysfunction in scleroderma and achalasia using multichannel intraluminal impedance and manometry". Dig Dis Sci. 53 (1): 210–6. doi:10.1007/s10620-007-9845-x. PMID 17549634.
- ↑ Herbella FA (2012). "Critical analysis of esophageal multichannel intraluminal impedance monitoring 20 years later". ISRN Gastroenterol. 2012: 903240. doi:10.5402/2012/903240. PMC 3488400. PMID 23150831.
- ↑ Perry L, Love CP (2001). "Screening for dysphagia and aspiration in acute stroke: a systematic review". Dysphagia. 16 (1): 7–18. PMID 11213249.
- ↑ Logemann JA, Gensler G, Robbins J, Lindblad AS, Brandt D, Hind JA; et al. (2008). "A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson's disease". J Speech Lang Hear Res. 51 (1): 173–83. doi:10.1044/1092-4388(2008/013). PMC 2894528. PMID 18230864.