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Functional endoscopic evaluation swallowing

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https://www.readbyqxmd.com/read/27873090/evaluating-the-psychometric-properties-of-the-eating-assessment-tool-eat-10-using-rasch-analysis
#1
R Cordier, A Joosten, P Clavé, A Schindler, M Bülow, N Demir, S Serel Arslan, R Speyer
Early and reliable screening for oropharyngeal dysphagia (OD) symptoms in at-risk populations is important and a crucial first stage in effective OD management. The Eating Assessment Tool (EAT-10) is a commonly utilized screening and outcome measure. To date, studies using classic test theory methodologies report good psychometric properties, but the EAT-10 has not been evaluated using item response theory (e.g., Rasch analysis). The aim of this multisite study was to evaluate the internal consistency and structural validity and conduct a preliminary investigation of the cross-cultural validity of the EAT-10; floor and ceiling effects were also checked...
November 21, 2016: Dysphagia
https://www.readbyqxmd.com/read/27770070/evaluation-of-dysphagia-by-novel-real-time-mri
#2
Arno Olthoff, Per-Ole Carstens, Shuo Zhang, Eva von Fintel, Tim Friede, Joachim Lotz, Jens Frahm, Jens Schmidt
OBJECTIVE: To assess safety and feasibility of real-time (RT) MRI for evaluation of dysphagia and to compare this technique to standard assessment by flexible endoscopic evaluation of swallowing (FEES) and videofluoroscopy (VF) in a cohort of patients with inclusion body myositis (IBM). METHODS: Using RT-MRI, FEES, and VF, an unselected cohort of 20 patients with IBM was studied as index disease with a uniform dysphagia. Symptoms of IBM and dysphagia were explored by standardized tools including Swallowing-Related Quality of Life Questionnaire (SWAL-QoL), IBM Functional Rating Scale, Patient-Reported Functional Assessment, and Medical Research Council Scale...
November 15, 2016: Neurology
https://www.readbyqxmd.com/read/27719865/functional-disorders-of-swallowing
#3
A Baumann, P O Katz
Swallowing involves complex coordination of the neuromuscular anatomy and physiology of the oropharynx and esophagus, controlled by the enteric and central nervous systems. Dysphagia is classified as either oropharyngeal or esophageal and results from mechanical or structural disturbances. Videofluoroscopy, fiberoptic endoscopic evaluation of swallowing, barium swallow, manometry, and endoscopy are common modalities utilized in diagnosis, but none is as important as a patient's history. Functional dysphagia is a diagnosis of exclusion and is based on Rome criteria...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/27684427/prolonged-impairment-of-deglutition-in-supratentorial-ischaemic-stroke-the-predictive-value-of-parramatta-hospitals-assessment-of-dysphagia
#4
Georg Kägi, Natascha Leisi, Marian Galovic, Marlise Müller-Baumberger, Werner Krammer, Bruno Weder
BACKGROUND: Up to 50% of ischaemic stroke patients show initial dysphagia, which may persist for months. Guidelines recommend switching nasogastric (NG) to percutaneous endoscopic gastrostomy (PEG) tube feeding at the second week after the stroke if impaired deglutition is expected for another 4 weeks. Precise prognostic criteria are lacking. We hypothesised that the Parramatta Hospitals' Assessment of Dysphagia (PAHD) performed 8 to 10 days after the stroke predicts impaired deglutition for another 4 weeks...
2016: Swiss Medical Weekly
https://www.readbyqxmd.com/read/27620303/the-added-diagnostic-value-of-postreflux-swallow-induced-peristaltic-wave-index-and-nocturnal-baseline-impedance-in-refractory-reflux-disease-studied-with-on-therapy-impedance-ph-monitoring
#5
M Frazzoni, N de Bortoli, L Frazzoni, S Tolone, M Furnari, I Martinucci, V G Mirante, S Marchi, V Savarino, E Savarino
BACKGROUND: On-therapy impedance-pH monitoring in proton pump inhibitor (PPI)-refractory gastroesophageal reflux disease (GERD) yielded conflicting results. We aimed to assess the diagnostic value of postreflux swallow-induced peristaltic wave (PSPW) index and mean nocturnal baseline impedance (MNBI) in PPI-refractory heartburn. METHODS: On-therapy impedance-pH tracings from 189 consecutive patients with PPI-refractory heartburn were blindly reviewed. Patients were subdivided into refractory reflux esophagitis (RRE), healed reflux esophagitis (HRE), non-erosive reflux disease (NERD), and functional heartburn (FH) according to endoscopic and conventional impedance-pH findings...
September 12, 2016: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/27595503/mano-videoendoscopic-assessment-in-the-evaluation-of-the-pharyngeal-contraction-and-upper-esophageal-sphincter-function-in-dysphagic-patients
#6
Takehiro Karaho, Junko Nakajima, Tetsuya Satoh, Keisuke Kawahara, Takeshi Nakayama, Naoyuki Kohno
OBJECTIVE: Mano-videoendoscopy (MVE) is a manometry technique with endoscopic confirmation of the pressure catheter. This study aimed to investigate the possibility of replacing a videofluorographic swallowing study (VFSS) with MVE for the precise evaluation of the pharyngeal contraction and the upper esophageal sphincter (UES) function. METHODS: The data from 69 patients with dysphagia were retrospectively reviewed. All of the patients underwent both MVE and a VFSS for the evaluation of dysphagia...
August 29, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27569290/dysphagia-in-amyotrophic-lateral-sclerosis-relationships-between-disease-progression-and-fiberoptic-endoscopic-evaluation-of-swallowing
#7
Bruno Fattori, Gabriele Siciliano, Valentina Mancini, Luca Bastiani, Paolo Bongioanni, Elena Caldarazzo Ienco, Maria R Barillari, Salvatore O Romeo, Andrea Nacci
OBJECTIVE: Our aim was to evaluate the relationship between the disease severity of Amyotrophic Lateral Sclerosis (ALS) and the following parameters of Fiberoptic Endoscopic Evaluation of Swallowing (FEES): premature spillage, post-swallowing residue and aspiration. METHODS: We studied 202 patients (95 women and 107 men) with ALS; of these, 136 had spinal and 66 had bulbar onset. They were analyzed according to the Amyotrophic Lateral Sclerosis Functioning Rating Scale (ALSFRS) and the b-ALSFRS subscale (bulbar scale)...
August 25, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27562477/therapeutic-exercises-for-affecting-post-treatment-swallowing-in-people-treated-for-advanced-stage-head-and-neck-cancers
#8
REVIEW
Alison Perry, Siew Hwa Lee, Susan Cotton, Catriona Kennedy
BACKGROUND: Head and neck cancer treatment has developed over the last decade, with improved mortality and survival rates, but the treatments often result in dysphagia (a difficulty in swallowing) as a side effect. This may be acute, resolving after treatment, or remain as a long-term negative sequela of head and neck cancer (HNC) treatment. Interventions to counteract the problems associated with dysphagia include swallowing exercises or modification of diet (bolus texture, size), or both...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27551854/analysis-of-vocal-and-swallowing-functions-after-horizontal-glottectomy
#9
İlhan Topaloğlu, Muhlis Bal, Ziya Salturk, Güler Berkiten, Yavuz Atar
We conducted a cross-sectional study to assess vocal and swallowing functions after horizontal glottectomy. Our study population was made up of 22 men aged 45 to 72 years (mean: 58.3) who underwent horizontal glottectomy and completed at least 1 year of follow-up. To compare postoperative results, 20 similarly aged men were included as a control group; all glottectomy patients and all controls were smokers. We used three methods-acoustic and aerodynamic voice analyses, the GRBAS (grade, roughness, breathiness, asthenicity, and strain) scale, and the voice handicap index-30 (VHI-30)-to assess vocal function objectively, perceptually, and subjectively, respectively...
August 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/27531562/longitudinal-and-long-term-effects-of-radiotherapy-on-swallowing-function-after-tongue-reconstruction
#10
M Fujiki, S Miyamoto, S Zenda, M Sakuraba
OBJECTIVE: This study evaluated the longitudinal and long-term effects of radiotherapy on swallowing function after tongue reconstruction. METHODS: The study comprised 16 patients who had: undergone glossectomy and tongue reconstruction with free flap transfer, received adjuvant radiotherapy, and survived without recurrence for at least 1 year. Swallowing function, as indicated by tolerance of oral intake, was evaluated before radiotherapy, at radiotherapy completion, and at 6 and 12 months after radiotherapy completion...
September 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27475467/carotid-endarterectomy-significantly-improves-postoperative-laryngeal-sensitivity
#11
Georg Philipp Hammer, Peter Valentin Tomazic, Sarah Vasicek, Matthias Graupp, Markus Gugatschka, Anneliese Baumann, Peter Konstantiniuk, Stephan Herwig Koter
OBJECTIVE: Iatrogenic injury of the vagus nerve or its branches during carotid endarterectomy (CEA) can result in globus sensation, dysphagia, and even vocal fold immobility. Knowledge of morphologic and functional laryngopharyngeal outcomes after CEA is poor. The present study was performed to determine potential iatrogenic damage to the laryngeal innervation after CEA. An area of particular interest was the supraglottic sensory threshold, which was examined by Fiberoptic Endoscopic Evaluation of Swallowing With Sensory Testing (FEESST; Pentax Medical Company, Montvale, NJ), a validated and safe method for the determination of the motor and sensory components of swallowing...
July 27, 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27384435/outcome-of-rehabilitation-and-swallowing-therapy-after-percutaneous-endoscopic-gastrostomy-in-dysphagia-patients
#12
Ezekiel Wong Toh Yoon, Jun Hirao, Naoko Minoda
The objective of this study was to investigate the outcomes of rehabilitation (with swallowing therapy) after percutaneous endoscopic gastrostomy (PEG) in patients with neurogenic dysphagia. Forty-seven patients (29 males and 18 females) who were transferred to the rehabilitation ward of our hospital after receiving PEG tube placements during a 5-year period were enrolled in this study. Patients' demographic data, comorbidities, nutritional statuses, and laboratory biomarkers before the PEG procedure were collected...
July 6, 2016: Dysphagia
https://www.readbyqxmd.com/read/27383538/reconstruction-of-hypopharyngeal-and-esophageal-defects-using-a-gastric-tube-after-total-esophagectomy-and-pharyngolaryngectomy
#13
Jifeng Liu, Tiehong Deng, Chao Li, Lin Peng, Qiang Li, Guiquan Zhu, Wei Wang, Yongcong Cai, Xiaojiao Lan, Yuxin He, Zhaohui Wang, Shaoxin Wang
AIM: This study investigated the value of gastric tube during surgery for advanced hypopharyngeal and cervical esophageal cancer. METHOD: From November 2007 to December 2012, 42 patients underwent total pharyngo-laryngo-esophagectomy because of advanced hypopharyngeal or cervical esophageal cancer and were reconstructed with a gastric tube. Clinical swallowing function, morbidity, overall survival, and progression-free survival were evaluated postoperatively. RESULT: There were no severe complications, including no gastric necrosis, surgery-related postoperative morbidity, hemothorax, thoracostomach, or severe reflux esophagitis...
2016: ORL; Journal for Oto-rhino-laryngology and its related Specialties
https://www.readbyqxmd.com/read/27374286/ginger-orally-disintegrating-tablets-to-improve-swallowing-in-older-people
#14
Ayumu Hirata, Hiroki Funato, Megumi Nakai, Michiro Iizuka, Noriaki Abe, Yusuke Yagi, Hisashi Shiraishi, Kohei Jobu, Junko Yokota, Kahori Hirose, Masamitsu Hyodo, Mitsuhiko Miyamura
We previously prepared and pharmaceutically evaluated ginger orally disintegrating (OD) tablets, optimized the base formulation, and carried out a clinical trial in healthy adults in their 20 s and 50s to measure their effect on salivary substance P (SP) level and improved swallowing function. In this study, we conducted clinical trials using the ginger OD tablets in older people to clinically evaluate the improvements in swallowing function resulting from the functional components of the tablet. The ginger OD tablets were prepared by mixing the excipients with the same amount of mannitol and sucrose to a concentration of 1% ginger...
2016: Biological & Pharmaceutical Bulletin
https://www.readbyqxmd.com/read/27364085/rotational-thyrotracheopexy-after-cricoidectomy-for-low-grade-laryngeal-chrondrosarcoma
#15
László Rovó, Ádám Bach, Balázs Sztanó, Vera Matievics, Ilona Szegesdi, Paul F Castellanos
OBJECTIVES: The complex laryngeal functions are fundamentally defined by the cricoid cartilage. Thus, lesions requiring subtotal or total resection of the cricoid cartilage commonly warrant total laryngectomy. However, from an oncological perspective, the resection of the cricoid cartilage would be an optimal solution in these cases. The poor functional results of the few reported cases of total and subtotal cricoidectomy with different reconstruction techniques confirm the need for new approaches to reconstruct the infrastructure of the larynx post cricoidectomy...
July 1, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27299944/-dysphagia-in-parkinson-s-disease-pathophysiology-diagnosis%C3%A2-and-therapy
#16
I Suttrup, T Warnecke
Oropharyngeal and esophageal dysphagia are a frequent, but seldom diagnosed symptom of Parkinson's disease (PD). More than 80 % of patients with PD develop dysphagia during the course of their disease leading to a reduced quality of life, complicated medication intake, malnutrition and aspiration pneumonia, which is a major cause of death in PD. The underlying pathophysiology is poorly understood. Impaired dopaminergic and non-dopaminergic mechanisms of the cortical swallowing network as well as peripheral neuromuscular involvement have been suggested to contribute to its multifactorial genesis...
July 2016: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/27227341/internal-lymphedema-correlates-with-subjective-and-objective-measures-of-dysphagia-in-head-and-neck-cancer-patients
#17
Leanne K Jackson, Sheila H Ridner, Jie Deng, Carmin Bartow, Kyle Mannion, Ken Niermann, Jill Gilbert, Mary S Dietrich, Anthony J Cmelak, Barbara A Murphy
BACKGROUND: Tumor/treatment-related internal lymphedema (IL) and/or external lymphedema (EL) are associated with functional deficits and increased symptom burden in head and neck cancer patients (HNCP). Previously, we noted association between EL/IL and patient-reported dysphagia using the Vanderbilt Head and Neck Symptom Survey (VHNSS) version 1.0. OBJECTIVE: To determine the relationship between IL/EL and subjective and objective measures of swallowing function...
September 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27172522/oesophageal-foreign-bodies-from-diagnostic-challenge-to-therapeutic-dilemma
#18
Dragoş Predescu, Irina Predescu, Codruţ Sarafoleanu, Silviu Constantinoiu
Ingestion of foreign bodies, common in the emergency services, remains a challenge for physicians despite preventive measures and technical progress due to the frequency and possible complications, serious complications that can darken vital prognosis or may be a source of remote morbidity. Clinical experience at "St. Mary" Hospital included, between 2000-2015, 39 patients diagnosed with FB ingestion, of which 26 fixed in the oesophagus, with the remaining 13 having spontaneously progressed along the digestive tract (5 recovered from the stomach, 6 naturally evacuated, and 2 cases with colic perforation)...
March 2016: Chirurgia
https://www.readbyqxmd.com/read/27117690/prospective-analysis-of-functional-swallowing-outcome-after-resection-of-t2-glottic-carcinoma-using-transoral-laser-surgery-and-external-vertical-hemilaryngectomy
#19
Hani Osama Nasef, Hossam Thabet, Cesare Piazza, Francesca Del Bon, Mohamed Eid, Manal El Banna, Piero Nicolai
56 patients affected by T2 glottic carcinoma were treated in two institutes using transoral laser microsurgery (TLM) in 40 cases and vertical hemilaryngectomy in 16 cases between September 2012 and September 2015. In the TLM group, different subtypes of type V cordectomy were used according to the extent of tumor. In the vertical hemilaryngectomy group, classical operation was used in most of the cases and the resection was extended in few cases. Analysis of post-operative swallowing function was done using videofluoroscopy (VFS), functional endoscopic evaluation of swallowing, and subjectively using MD Anderson dysphagia inventory...
August 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27090424/swallowing-disorders-in-severe-brain-injury-in-the-arousal-phase
#20
A Bremare, A Rapin, B Veber, F Beuret-Blanquart, E Verin
The objective of this study was to determine the clinical characteristics of swallowing disorders in severe brain injury in the arousal phase after coma. Between December 1, 2013 and June 30, 2014, eleven patients with severe acquired brain injury who were admitted to rehabilitation center (Male 81.8 %; 40.7 ± 14.6 years) were included in the study. Evaluation of swallowing included a functional examination, clinical functional swallowing test, and naso-endoscopic swallowing test. All patients had swallowing disorders at admission...
August 2016: Dysphagia
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