Sa184 RETAINED ESOPHAGEAL CONTRAST ON MODIFIED BARIUM SWALLOW STUDY PREDICTS ABNORMAL HIGH-RESOLUTION ESOPHAGEAL MANOMETRY IN PATIENTS WITH DYSPHAGIA

Purpose The purpose of this study was to identify which swallowing task(s) yielded the worst performance during a standardized modified barium swallow study (MBSS) in order to optimize the detection of swallowing impairment. Method This secondary data analysis of adult MBSSs estimated the probability of each swallowing task yielding the derived Modified Barium Swallow Impairment Profile (MBSImP™©; Martin-Harris et al., 2008) Overall Impression (OI; worst) scores using generalized estimating equations. The range of probabilities across swallowing tasks was calculated to discern which swallowing task(s) yielded the worst performance. Results Large-volume, thin-liquid swallowing tasks had the highest probabilities of yielding the OI scores for oral containment and airway protection. The cookie swallowing task was most likely to yield OI scores for oral clearance. Several swallowing tasks had nearly equal probabilities (≤ .20) of yielding the OI score. Conclusions The MBSS must represent impairment while requiring boluses that challenge the swallowing system. No single swallowing task had a sufficiently high probability to yield the identification of the worst score for each physiological component. Omission of swallowing tasks will likely fail to capture the most severe impairment for physiological components critical for safe and efficient swallowing. Results provide further support for standardized, well-tested protocols during MBSS.

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Use of modified barium swallow study to measure posterior airway space in obstructive sleep apnea

Acta Oto-Laryngologica ◽

10.3109/00016489.2015.1136431 ◽

2016 ◽

Vol 136 (6) ◽

pp. 592-597 ◽

Cited By ~ 3

Author(s):

Tyler Crosby ◽

Jeff Phillips ◽

Alberto Carbo ◽

Kelley Babcock ◽

Cherie-Ann Nathan

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Barium Swallow ◽

Modified Barium Swallow ◽

Posterior Airway Space ◽

Obstructive Sleep ◽

Swallow Study ◽

Modified Barium Swallow Study

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A new aspiration screening test to assess the need for a modified barium swallow study

Archives of Physical Medicine and Rehabilitation ◽

10.1016/s0003-9993(95)81129-x ◽

1995 ◽

Vol 76 (11) ◽

pp. 1040 ◽

Cited By ~ 2

Keyword(s):

Screening Test ◽

Barium Swallow ◽

Modified Barium Swallow ◽

Swallow Study ◽

Modified Barium Swallow Study

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The prevalence and effects of aspiration among neonates at the time of discharge

Cardiology in the Young ◽

10.1017/s104795111600278x ◽

2017 ◽

Vol 27 (7) ◽

pp. 1241-1247 ◽

Cited By ~ 3

Author(s):

Emily Karsch ◽

Sharon Y. Irving ◽

Brandon S. Aylward ◽

William T. Mahle

Keyword(s):

Cardiac Surgery ◽

Patient Population ◽

Heart Surgery ◽

Single Ventricle ◽

Barium Swallow ◽

Modified Barium Swallow ◽

Study Results ◽

Neonatal Cardiac Surgery ◽

Swallow Study ◽

Modified Barium Swallow Study

AbstractBackgroundNeonates undergoing heart surgery for CHD are at risk for postoperative gastrointestinal complications and aspiration events. There are limited data regarding the prevalence of aspiration after neonatal cardiothoracic surgery; thus, the effects of aspiration events on this patient population are not well understood. This retrospective chart review examined the prevalence and effects of aspiration among neonates who had undergone cardiac surgery at the time of their discharge.IntroductionThis study examined the prevalence of aspiration among neonates who had undergone cardiac surgery. Demographic data regarding these patients were analysed in order to determine risk factors for postoperative aspiration. Post-discharge feeding routes and therapeutic interventions were extracted to examine the time spent using alternate feeding routes because of aspiration risk or poor caloric intake. Modified barium swallow study results were used to evaluate the effectiveness of the test as a diagnostic tool.Materials and methodsA retrospective study was undertaken of neonates who had undergone heart surgery from July, 2013 to January, 2014. Data describing patient demographics, feeding methods, and follow-up visits were recorded and compared using a χ2 test for goodness of fit and a Kaplan–Meier graph.ResultsThe patient population included 62 infants – 36 of whom were male, and 10 who were born with single-ventricle circulation. The median age at surgery was 6 days (interquartile range=4 to 10 days). Modified barium swallow study results showed that 46% of patients (n=29) aspirated or were at risk for aspiration, as indicated by laryngeal penetration. In addition, 48% (n=10) of subjects with a negative barium swallow or no swallow study demonstrated clinical aspiration events. Tube feedings were required by 66% (n=41) of the participants. The median time spent on tube feeds, whether in combination with oral feeds or exclusive use of a nasogastric or gastric tube, was 54 days; 44% (n=27) of patients received tube feedings for more than 120 days. Premature infants were significantly more likely to have aspiration events than infants delivered at full gestational age (OR p=0.002). Infants with single-ventricle circulation spent a longer time on tube feeds (median=95 days) than infants with two-ventricle defects (median=44 days); the type of cardiac defect was independent of prevalence of an aspiration event.ConclusionsAspiration is common following neonatal cardiac surgery. The modified barium swallow study is often used to identify aspiration events and to determine an infant’s risk for aspirating. This leads to a high proportion of infants who require tube feedings following neonatal cardiac surgery.

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Factors Influencing Initiation of Pharyngeal Swallow in Healthy Adults

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-20-00027 ◽

2020 ◽

Vol 29 (4) ◽

pp. 1956-1964

Author(s):

Ankita M. Bhutada ◽

Rajarshi Dey ◽

Bonnie Martin-Harris ◽

Kendrea L. (Focht) Garand

Keyword(s):

Healthy Adults ◽

Barium Swallow ◽

Large Variability ◽

Modified Barium Swallow ◽

Factors Influencing ◽

Volume Viscosity ◽

Pharyngeal Swallow ◽

Swallow Study ◽

Dysphagic Patients ◽

Modified Barium Swallow Study

Purpose The purpose of this study was to investigate factors influencing the initiation of pharyngeal swallow (IPS) in healthy, nondysphagic adults. Method A total of 195 healthy participants ranging in age from 21 to 89 years participated in a modified barium swallow study. IPS was quantified using the Modified Barium Swallow Impairment Profile standardized scoring system across nine swallowing tasks observed in the lateral viewing plane for each participant. Results Large variability for bolus head location at time of hyoid burst (IPS) was observed within this healthy cohort, ranging from the ramus of the mandible to the pyriform sinuses. Significant effects of bolus volume, viscosity, sex, and race were also observed. Conclusion Study findings indicate that IPS is variable in healthy adults and influenced by volume, viscosity, sex, and race. Thus, variability in IPS may be considered typical in otherwise nondysphagic adults. The clinical significance of high Modified Barium Swallow Impairment Profile IPS scores in dysphagic patients, therefore, must be considered within the context of other swallowing impairments. Supplemental Material https://doi.org/10.23641/asha.12735935

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