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Dysphagia fluoroscopy

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https://www.readbyqxmd.com/read/27813349/pharyngoesophageal-dysphagia-an-under-recognised-potentially-fatal-but-very-treatable-feature-of-systemic-sclerosis
#1
C Rajapakse
Dysfunction of upper pharyngoesophageal region in systemic sclerosis (SSc) is infrequent, poorly recognised and poorly documented in the literature. Yet, it can have very distressing and even fatal consequences that may yet be very responsive to appropriate management. This paper documents the findings and outcome of management of a series of five patients with SSc who had pharyngoesophageal dysphagia to demonstrate the above. Following the documentation of a patient with SSc that had severe pharyngoesophageal dysphagia in 1981, this paper reports the findings in five patients with SSc presenting thereafter, having the same manifestations...
November 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27454536/preliminary-evaluation-of-the-pathomechanisms-of-dysphagia-after-occipitospinal-fusion-kinematic-analysis-by-videofluoroscopic-swallowing-study
#2
Shuichi Kaneyama, Masatoshi Sumi, Masato Takabatake, Koichi Kasahara, Aritetsu Kanemura, Akihiro Koh, Hiroaki Hirata
STUDY DESIGN: Kinematic analysis of swallowing function using videofluoroscopic swallowing study (VFSS). OBJECTIVES: The aims of this study were to analyze swallowing process in the patients who underwent occipitospinal fusion (OSF) and elucidate the pathomechanism of dysphagia after OSF. SUMMARY OF BACKGROUND DATA: Although several hypotheses about the pathomechanisms of dysphagia after OSF were suggested, there has been little tangible evidence to support these hypotheses since these hypotheses were based on the analysis of static radiogram or CT...
December 1, 2016: Spine
https://www.readbyqxmd.com/read/27320840/are-esophagrams-indicated-in-pediatric-patients-with-spontaneous-pneumomediastinum
#3
Edward J Richer, Ramon Sanchez
BACKGROUND/PURPOSE: Spontaneous pneumomediastinum is an infrequent condition in pediatric patients. Presenting symptoms include chest pain, dysphagia, or vomiting, without initiating event. Patients may undergo esophagram because of concern for esophageal perforation as the source for pneumomediastinum, however, abnormalities are rarely demonstrated. The objective of this study is to identify whether esophagrams performed on pediatric patients for spontaneous pneumomediastinum are warranted...
June 6, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27165955/pharyngeal-electrical-stimulation-for-treatment-of-dysphagia-in-subacute-stroke-a-randomized-controlled-trial
#4
Philip M Bath, Polly Scutt, Jo Love, Pere Clavé, David Cohen, Rainer Dziewas, Helle K Iversen, Christian Ledl, Suzanne Ragab, Hassan Soda, Anushka Warusevitane, Virginie Woisard, Shaheen Hamdy
BACKGROUND AND PURPOSE: Dysphagia is common after stroke, associated with increased death and dependency, and treatment options are limited. Pharyngeal electric stimulation (PES) is a novel treatment for poststroke dysphagia that has shown promise in 3 pilot randomized controlled trials. METHODS: We randomly assigned 162 patients with a recent ischemic or hemorrhagic stroke and dysphagia, defined as a penetration aspiration score (PAS) of ≥3 on video fluoroscopy, to PES or sham treatment given on 3 consecutive days...
June 2016: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27068782/late-onset-dysphagia-caused-by-severe-spastic-peristalsis-of-a-free-jejunal-graft-in-a-case-of-hypopharyngeal-cancer
#5
Takayuki Imai, Takahiro Goto, Ko Matsumoto, Koreyuki Kurosawa, Yukinori Asada, Shigeru Saijo, Kazuto Matsuura
Free jejunal transfer is the main technique used for reconstructing a circumferential defect caused by total pharyngo-laryngo-cervical-esophagectomy in certain cancer cases. We report a rare case of severe late-onset dysphagia caused by autonomous spastic peristalsis, which led to complete obstruction of the free jejunal route. A 70-year-old man underwent treatment for hypopharyngeal cancer involving total pharyngolaryngectomy with free jejunal transfer. After uneventful peri- and postoperative recovery, he developed sudden-onset severe dysphagia 22 months later...
December 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27048206/concordance-between-aspiration-detected-on-upper-gastrointestinal-series-and-videofluoroscopic-swallow-study-in-bottle-fed-children
#6
Renee Flax-Goldenberg, Kopal S Kulkarni, Kathryn A Carson, Jeanne M Pinto, Bonnie Martin-Harris, Maureen A Lefton-Greif
The increasing incidence of pediatric dysphagia has raised questions about how to identify children at risk for aspiration. Multiple investigative imaging modalities are considered in diagnostic algorithms, since dysphagia may involve any or all phases of swallowing. Although upper gastrointestinal (UGI) series and videofluoroscopic swallow study (VFSS) are common procedures, the utility of UGI for detection of aspiration and the impact of oropharyngeal imaging during UGI on radiation exposure have not been well described...
August 2016: Dysphagia
https://www.readbyqxmd.com/read/26893627/correlation-studies-of-barium-on-pulmonary-infection-under-the-assessment-of-vfss
#7
Jie Sun, Wei Chen
Stroke is a common clinical disease resulting in somatic dyskinesia as well as different degrees of dysphagia. The aim of the study was to assess the results obtained from the utilization of 60% barium sulfate suspension and iohexol as contrast agents in video fluoroscopic swallowing studies (VFSS), and compare the association between the clinical application of the two contrast agents and the incidence of pneumonia. A total of 60 cases of in-patients with dysphagia caused by stroke were selected and divided into two groups based on the diagnostic standard...
February 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/26622975/effects-of-early-intervention-of-swallowing-therapy-on-recovery-from-dysphagia-following-stroke
#8
Jalal Bakhtiyari, Payam Sarraf, Noureddin Nakhostin-Ansari, Abbas Tafakhori, Jeri Logemann, Soghrat Faghihzadeh, Mohammad Hossein Harirchian
BACKGROUND: Dysphagia is common after stroke. The onset time of swallowing rehabilitation following stroke has an important role in the recovery of dysphagia and preventing of its complications, but it was either highly variable or was not stated in previous trials. The aim of this study was investigation effects of onset time of swallowing therapy on recovery from dysphagia following stroke. METHODS: Sixty dysphagia patients due to stroke range of age 60-74 (67...
July 6, 2015: Iranian Journal of Neurology
https://www.readbyqxmd.com/read/26587923/effective-treatment-of-symptomatic-lower-esophageal-schatzki-rings-with-acid-suppression-therapy-confirmed-on-barium-esophagography
#9
Sean H Novak, Michael J Shortsleeve, Paul A Kantrowitz
OBJECTIVE: Symptomatic lower esophageal (Schatzki) rings are one of the most common causes of dysphagia and esophageal food impaction. Although these rings are often diagnosed fluoroscopically, patients are typically referred for dilation procedures performed by a gastroenterologist. Because these procedures are invasive and carry risks, including esophageal perforation, an alternative treatment option is needed. Although recent research has shown the effectiveness of acid suppression medications used in addition to dilation procedures, our objective was to evaluate the effectiveness of treatment with acid suppression medication alone...
December 2015: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/26550374/tongue-acupuncture-in-treatment-of-post-stroke-dysphagia
#10
Haiyan Cai, Benxu Ma, Xia Gao, Huanmin Gao
Tongue acupuncture is a technique that treats illness through acupuncture applied to the tongue. This study was designed to assess its therapeutic effects in the treatment of post-stroke dysphagia. A clinical control study was conducted with randomly selected 180 patients with post-stroke dysphagia. The patients were assigned into 2 groups: 90 in the Tongue acupuncture group received tongue acupuncture on the basis of conventional medication, 90 in the conventional acupuncture group received acupuncture on the neck and wrist...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/26469360/efficacy-of-electrical-stimulation-and-exercise-for-dysphagia-in-patients-with-head-and-neck-cancer-a-randomized-clinical-trial
#11
Susan E Langmore, Timothy M McCulloch, Gintas P Krisciunas, Cathy L Lazarus, Douglas J Van Daele, Barbara Roa Pauloski, Denis Rybin, Gheorghe Doros
BACKGROUND: Neuromuscular electrical stimulation (NMES) is a highly sought after but poorly studied treatment for dysphagia among patients with head and neck cancer with dysphagia. This study investigated the efficacy of NMES in this patient population. METHODS: In this double-blinded, randomized controlled trial, 170 patients with head and neck cancer experiencing posttreatment dysphagia were randomized into active NMES + swallow exercise versus sham NMES + swallow exercise groups...
April 2016: Head & Neck
https://www.readbyqxmd.com/read/26439568/pp-3-the-utility-of-integrated-relaxation-pressure-to-predict-achalasia-in-children
#12
T Ciecierega, C V Crawford, R Zarnegar, N A Tipnis
BACKGROUND: Esophageal High Resolution Manometry (eHRM) is a widely available technique to evaluate dysphagia symptoms in children. In adults, the 4 second integrated relaxation pressure (IRP4 s) has been used to characterize lower esophageal sphincter function and esophageal obstruction. To date, no study has evaluated the utility of the IRP to predict achalasia in children. AIMS: To determine the utility of the IRP4 s to predict achalasia in a cohort of children with achalasia...
October 2015: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/26423417/thoracoscopic-management-of-volvulus-of-the-gastric-conduit-following-minimally-invasive-ivor-lewis-esophagectomy
#13
Jeremy Linson, Michael Latzko, Bestoun Ahmed, Ziad Awad
BACKGROUND: We present a case of emergent thoracoscopic management of volvulus of the gastric conduit following minimally invasive Ivor-Lewis esophagectomy. The patient is a 69-year-old Caucasian male with a history of adenocarcinoma of the lower third of the esophagus. Initial presentation was dysphagia with solid foods, which progressed in severity until he was unable to swallow anything. EUS demonstrated a partially obstructing mass at 33 cm; biopsy revealed poorly differentiated adenocarcinoma, stage T3N2Mx...
July 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26414361/injection-of-botulinum-toxin-for-the-treatment-of-post-laryngectomy-pharyngoesophageal-spasm-related-disorders
#14
K A Lightbody, M D Wilkie, A J Kinshuck, E Gilmartin, H Lewis-Jones, T M Jones, J Lancaster
Introduction Pharyngoesophageal spasm (PES) can cause dysphagia, central valve leak (CVL), and dypshonia in post-laryngectomy patients. Botulinum toxin has been used effectively for the treatment of PES, but data regarding patient-reported outcomes and efficacy for CVL are limited. We evaluated the results of botox injection for PES spasm using subjective and objective measures. Methods Data were collected prospectively (February 2010 to August 2013) on 13 patients undergoing botox injection for PES as identified by video fluoroscopy...
October 2015: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/26382626/clinical-usefulness-of-serum-krebs-von-den-lungen-6-for-detecting-chronic-aspiration-in-children-with-severe-motor-and-intellectual-disabilities
#15
Hiroyuki Wakamoto, Nozomi Sano, Yoshiaki Yano, Shinya Sakai, Takanori Kikuchi, Mitsumasa Fukuda, Takehiko Morimoto, Eiichi Ishii
OBJECTIVE: To determine whether the serum level of Krebs von den Lungen-6 (KL-6), a circulating high-molecular weight glycoprotein and a diagnostic biomarker of interstitial lung diseases, is a clinically useful biomarker for detecting chronic aspiration in children with severe motor and intellectual disabilities (SMIDS). STUDY DESIGN: Children with SMIDS undergoing videofluorography for assessment of dysphagia were prospectively evaluated. Based on the videofluorography results, the participants were classified into aspiration and non-aspiration groups...
November 2015: Journal of Pediatrics
https://www.readbyqxmd.com/read/26381290/laryngeal-penetration-on-videofluoroscopic-swallowing-study-is-associated-with-increased-pneumonia-in-children
#16
Joshua Gurberg, Rena Birnbaum, Sam J Daniel
OBJECTIVES: To determine whether children with laryngeal penetration on videofluoroscopic swallowing study are at higher risk for pneumonia than those with normal findings. METHODS: We reviewed the charts of 235 pediatric patients presenting to our Swallowing and Dysphagia clinic for videofluoroscopic swallowing study over a 3-year period. Patients with unsuccessful swallowing studies, incomplete charts, extra-laryngeal etiologies for recurrent pneumonia, or who were lost to follow up were excluded...
November 2015: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26274762/presentation-and-treatment-of-anterior-cervical-hyperostosis
#17
M C Quaye, J L Fowler, J T Griffiths
We report a case of severe anterior cervical hyperostosis presenting with dysphagia.
September 2015: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/26226994/pediatric-dysphagia-physiology-assessment-and-management
#18
REVIEW
Pamela Dodrill, Memorie M Gosa
Infancy and childhood represent a time of unparalleled physical growth and cognitive development. In order for infants and children to reach their linear and neurological growth potential, they must be able to reliably and safely consume sufficient energy and nutrients. Swallowing difficulties (dysphagia) in pediatric populations can have a detrimental effect on dietary intake and, thus, growth and development. As a result, it is imperative to accurately identify and appropriately manage dysphagia in pediatric populations...
2015: Annals of Nutrition & Metabolism
https://www.readbyqxmd.com/read/26184890/voluntary-cough-and-swallowing-function-characteristics-of-acute-stroke-patients-based-on-lesion-type
#19
Sook Joung Lee, Kyeong Woo Lee, Sang Beom Kim, Jong Hwa Lee, Min Kyu Park
OBJECTIVE: To investigate the relation between voluntary cough and swallowing functions according to the type of lesion in patients with acute stroke. DESIGN: Cross-sectional study. SETTING: University rehabilitation hospital. PARTICIPANTS: Acute stroke patients with dysphagia symptoms (N=397). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: A peak cough flow meter was used to measure voluntary coughing ability...
October 2015: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/26148649/ct-guided-percutaneous-radiologic-gastrostomy-for-patients-with-head-and-neck-cancer-a-retrospective-evaluation-in-177-patients
#20
Akio Tamura, Kenichi Kato, Michiko Suzuki, Miyuki Sone, Ryoichi Tanaka, Tatsuhiko Nakasato, Shigeru Ehara
PURPOSE: The purpose of this study was to assess the technical success rate and adverse events (AEs) associated with computed tomography (CT)-guided percutaneous gastrostomy for patients with head and neck cancer (HNC). MATERIALS AND METHODS: This retrospective study included patients with HNC who had undergone CT-guided percutaneous gastrostomy between February 2007 and December 2013. Information regarding the patients' backgrounds, CT-guided percutaneous gastrostomy techniques, technical success rate, and AEs were obtained from the medical records...
February 2016: Cardiovascular and Interventional Radiology
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