Dysphagia diagnostic study of choice
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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
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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.