Dysphagia other diagnostic studies
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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
Other diagnostic studies for dysphagia include video fluoroscopic swallowing study and esophageal manometry.
Other Diagnostic Studies
Other diagnostics studies for dysphagia are as follows:[1][2]
Oropharyngeal Dysphagia
- Videofloroscopic Swallowing Study
- Electromyography (EMG)
- Electroglottography (EGG) (records vocal fold movement)
- Pharyngeal manometry
Video Fluoroscopic Swallowing Study
Video fluoroscopic swallowing study, also known as modified barium swallow, is used as the initial study for the evaluation of oropharyngeal dysphagia.[3][4][5]
It provides the following information about the oropharyngeal swallowing mechanism:[6]
- Delay in initiation of pharyngeal swallowing
- Nasopharyngeal regurgitation
- Residue of ingestate within the pharyngeal cavity after swallowing
- Aspiration of ingestate
Video
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Esophageal Dysphagia
- Esophageal manometry
- High resolution manometry
- Uses miniature, multichannel, water-perfused catheters or solid-state catheters
- Pressures are recorded along the esophageal body and across the gastroesophageal junction
- Computerized interpolation generates esophageal pressure isocontour lines
- Facilitates differentiation between a restrictive disorder and muscular weakness in the pharyngoesophageal segment
- High resolution manometry
Video
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References
- ↑ Pandolfino, John E; Ghosh, Sudip K; Rice, John; Clarke, John O; Kwiatek, Monika A; Kahrilas, Peter J (2008). "Classifying Esophageal Motility by Pressure Topography Characteristics: A Study of 400 Patients and 75 Controls". The American Journal of Gastroenterology. 103 (1): 27–37. doi:10.1111/j.1572-0241.2007.01532.x. ISSN 0002-9270.
- ↑ Omari, T.; Bakewell, M.; Fraser, R.; Malbert, C.; Davidson, G.; Dent, J. (1996). "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors". Neurogastroenterology & Motility. 8 (3): 241–245. doi:10.1111/j.1365-2982.1996.tb00263.x. ISSN 1350-1925.
- ↑ 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.