scholarly journals Canadian Association of Gastroenterology Practice Guidelines: Evaluation of Dysphagia

1998 ◽  
Vol 12 (6) ◽  
pp. 409-413 ◽  
Author(s):  
Alan W Cockeram
Keyword(s):  
Oropharyngeal Dysphagia ◽  
Organic Disease ◽  
Esophageal Dysmotility ◽  
Body Type ◽  
Mechanical Problem ◽  
Functional Abnormality ◽  
Mucosal Disease ◽  
Esophageal Dysphagia ◽  
Canadian Association ◽  
Problem Versus

Dysphagia may be defined as difficulty in swallowing. Dysphagia may be classified as oropharyngeal or esophageal; oropharyngeal dysphagia arises from a structural or functional abnormality in the oropharynx, and esophageal dysphagia occurs as a result of structural or functional abnormalities in the esophagus. Esophageal dysphagia may be further subclassified symptomatically as dysphagia for solids alone, which usually suggests a mechanical problem, versus dysphagia for liquids and solids, which is more suggestive of a neuromuscular problem. Dysphagia may be described by the patient as a sensation of food 'sticking' or as a sensation of food passing slowly through the esophagus. True dysphagia always indicates organic disease and always warrants investigation and consultation if no cause is found in initial studies. These symptoms should be distinguished from those of a persistent foreign body-type sensation or a sensation of a lump, which is more typical of globus sensation. Odynophagia, defined as pain with swallowing, may occur in association with esophageal dysmotility or as a result of mucosal disease in the esophagus.

scholarly journals Upper Esophageal Sphincter Dilation for Recalcitrant Dysphagia Secondary to Dermatomyositis

2019 ◽  
Vol 98 (9) ◽  
pp. NP142-NP143
Author(s):  
Mallory J. Raymond ◽  
Nancy L. McColloch ◽  
Jeanne L. Hatcher
Keyword(s):  
Medical Management ◽  
Oropharyngeal Dysphagia ◽  
Autoimmune Disorder ◽  
Upper Esophageal Sphincter ◽  
Esophageal Dysmotility ◽  
Cricopharyngeus Muscle ◽  
Transnasal Esophagoscopy ◽  
Esophageal Sphincter

Dermatomyositis is a rare multisystem autoimmune disorder occasionally accompanied by dysphagia. It is typically treated with immune modulating agents; however, dysphagia is often unresponsive to these. Previous reports have demonstrated the utility of videoflouroscopy and manometry in understanding the etiologies of dysphagia to inform a procedural target, historically the cricopharyngeus muscle. We present a case of dermatomyositis and dysphagia resistant to medical management in a patient found by videoflouroscopy and manometry to have severe oropharyngeal dysphagia, esophageal dysmotility and a cricopharyngeal web. We demonstrate the utility and safety of upper esophageal sphincter dilation by transnasal esophagoscopy even in the setting of multifactorial dysphagia.

scholarly journals S1949 The Utilization of Bethanechol in Myotonic Dystrophy Patients With Oropharyngeal Dysphagia and Esophageal Dysmotility

2020 ◽  
Vol 115 (1) ◽  
pp. S1015-S1015
Author(s):  
Mackenzie Jarvis ◽  
Jason Baker ◽  
Elyse R. Thakur ◽  
Dawn Vickers ◽  
Baharak Moshiree
Keyword(s):  
Myotonic Dystrophy ◽  
Oropharyngeal Dysphagia ◽  
Esophageal Dysmotility

Tu1232 – Distal Esophageal Dysmotility and Bolus Clearance in Oropharyngeal Dysphagia (OPD)

2019 ◽  
Vol 156 (6) ◽  
pp. S-995-S-996
Author(s):  
Charles Cock ◽  
Maartje Singendonk ◽  
Carly M. Burgstad ◽  
Alison Thompson ◽  
Laura Besanko ◽  
...  
Keyword(s):  
Oropharyngeal Dysphagia ◽  
Esophageal Dysmotility

Dysphagie aus gastroenterologischer Sicht

2018 ◽  
Vol 143 (09) ◽  
pp. 660-671
Author(s):  
Marcus Hollenbach ◽  
Jürgen Feisthammel ◽  
Joachim Mössner ◽  
Albrecht Hoffmeister
Keyword(s):  
Neurological Disorders ◽  
Oropharyngeal Dysphagia ◽  
Diagnostic Algorithm ◽  
Diagnostic Procedures ◽  
Initial Step ◽  
Barium Swallow ◽  
High Resolution Manometry ◽  
Esophageal Dysphagia ◽  
Clear Differentiation ◽  
Subjective Sensation

AbstractSwallowing disorders (dysphagia) comprise a common cause of medical consultation and are defined as a subjective sensation of difficulty or abnormality of swallowing. In the initial step, a clear differentiation of dysphagia from odynophagia and globus sensation for further diagnostic procedures is mandatory. The careful questioning of patients symptoms and complaints is often helpful for the differentiation of oropharyngeal and esophageal dysphagia. Oropharyngeal dysphagia is mainly caused by neurological disorders (cerebral ischemia, Parkinson’s disease, dementia) or local compression of malignancies, thyroid gland or lymph nodes. In contrast, stenosis of the tubular esophagus (peptic stricture, rings and webs, diverticula, malignancies, infections) can lead to esophageal dysphagia, mostly only after ingestion of solids. Esophageal dysphagia after ingestion of solids and liquids is often caused by motility disorders of the esophagus (achalasia, hypertensive or hypercontractile esophagus). Important diagnostic procedures comprise endoscopy, barium swallow and high-resolution manometry. Overlap syndromes are frequent and need to be supervised interdisciplinary. The diagnostic algorithm and interpretation of exam results is complex. If the results are ambiguous, a reevaluation and, when appropriate, repetition of diagnostics are recommended. Whereas oropharyngeal dysphagia is treated by neurologists or ENT physicians, diagnostic and treatment of esophageal dysphagia is a challenging role for gastroenterologists.

scholarly journals Eighty-year-old man with 10 years dysphagia

2015 ◽  
Vol 06 (02) ◽  
pp. 081-083
Author(s):  
Showkat A. Kadla ◽  
Nisar Ahmad Shah ◽  
Shaheena Parveen ◽  
Bilal A. Khan ◽  
Asif I. Shah ◽  
...  
Keyword(s):  
Motor Function ◽  
Oropharyngeal Dysphagia ◽  
Esophageal Dysphagia ◽  
Cricopharyngeal Bar

AbstractDysphagia is a sensation of food being "stuck" up in its passage from the mouth to stomach. It is of two main types, oropharyngeal dysphagia, and esophageal dysphagia. In oropharyngeal dysphagia, there is difficulty in transferring the food from the mouth to upper esophagus. Thus, this dysphagia is also called as transfer dysphagia. It occurs within 1 st 1-2 s of the swallow. We also call this dysphagia as instant dysphagia. It is almost always associated with sinobronchial symptoms. The second type of dysphagia is esophageal dysphagia in which there is difficulty in passing the food from upper esophagus to the stomach. The two main mechanisms responsible for dysphagia are either a problem with the motor function of oropharynx or esophagus (neuromuscular causes) or mechanical narrowing of oropharynx or esophagus (mechanical dysphagia). As this dysphagia occurs a little later in the act of swallowing, we can call it delayed dysphagia. The mechanical cause of dysphagia includes benign strictures, malignancies, webs and rings, retropharyngeal abscesses, Zenker′s diverticulum, cricopharyngeal bar, and some vascular causes. We report an 80-year-old male with vascular dysphagia.

Lingual Strengthening: Success in an Outpatient Setting

2015 ◽  
Vol 24 (2) ◽  
pp. 71-74
Author(s):  
Ali Meier
Keyword(s):  
Oropharyngeal Dysphagia ◽  
Patient Discharge ◽  
Outpatient Setting ◽  
Oral Performance ◽  
Exercise Protocol ◽  
Anterior Position ◽  
Tongue Position ◽  
Bolus Propulsion ◽  
Posterior Position

In the last decade or more, dysphagia research has investigated the effect of lingual strengthening on oropharyngeal dysphagia with promising results. Much of this research has utilized strengthening devices such as the Iowa Oral Performance Instrument (IOPI) or the Madison Oral Strengthening Therapeutic (MOST) Device. Patients are often given a device to use, and are able to complete an exercise protocol daily or multiple times per day. This case study was completed to determine the effectiveness of using the IOPI in an outpatient clinic where therapy was conducted two to three times per week. The patient was seen post tongue resection due to oropharyngeal cancer. From initiation of IOPI use to patient discharge, the patient demonstrated a 71% increase in lingual strength at the anterior position, a 61% increase at the posterior position, and a 314% increase at the base of tongue position. His diet advanced from NPO to general based on gains in lingual strength and bolus propulsion.

Research Consumerism 101: Evaluating External Evidence of Treatment Effectiveness

2008 ◽  
Vol 17 (2) ◽  
pp. 43-49
Author(s):  
James L. Coyle
Keyword(s):  
Treatment Effectiveness ◽  
Code Of Ethics ◽  
Oropharyngeal Dysphagia ◽  
Clinical Importance ◽  
Professional Services ◽  
Adverse Outcomes ◽  
Professional Judgment ◽  
Evidence Based ◽  
Intervention Selection ◽  
Published Research

Abstract The modern clinician is a research consumer. Rehabilitation of oropharyngeal impairments, and prevention of the adverse outcomes of dysphagia, requires the clinician to select interventions for which evidence of a reasonable likelihood of a successful, important outcome exists. The purpose of this paper is to provide strategies for evaluation of published research regarding treatment of oropharyngeal dysphagia. This article utilizes tutorial and examples to inform and educate practitioners in methods of appraising published research. It provides and encourages the use of methods of efficiently evaluating the validity and clinical importance of published research. Additionally, it discusses the importance of the ethical obligation we, as practitioners, have to use evidence-based treatment selection methods and measurement of patient performance during therapy. The reader is provided with tactics for evaluating treatment studies to establish a study's validity and, thereby, objectively select interventions. The importance of avoiding subjective or unsubstantiated claims and using objective methods of generating empirical clinical evidence is emphasized. The ability to evaluate the quality of research provides clinicians with objective intervention selection as an important, essential component of evidence-based clinical practice. ASHA Code of Ethics (2003): Principle I, Rule F: “Individuals shall fully inform the persons they serve of the nature and possible effects of services rendered and products dispensed…” (p. 2) Principle I, Rule G: “Individuals shall evaluate the effectiveness of services rendered and of products dispensed and shall provide services or dispense products only when benefit can reasonably be expected.” (p. 2) Principle IV, Rule G: “Individuals shall not provide professional services without exercising independent professional judgment, regardless of referral source or prescription.” (p. 4)

Men’s Hunger, Food Consumption, and Preferences for Female Body Types

2014 ◽  
Vol 45 (6) ◽  
pp. 495-497 ◽  
Author(s):  
Nicolas Guéguen
Keyword(s):  
Food Consumption ◽  
Female Body ◽  
The Body ◽  
Slender Body ◽  
Mediation Effect ◽  
Point Scale ◽  
Body Type ◽  
Experimental Conditions

Nelson and Morrison (2005 , study 3) reported that men who feel hungry preferred heavier women. The present study replicates these results by using real photographs of women and examines the mediation effect of hunger scores. Men were solicited while entering or leaving a restaurant and asked to report their hunger on a 10-point scale. Afterwards, they were presented with three photographs of a woman in a bikini: One with a slim body type, one with a slender body type, and one with a slightly chubby body. The participants were asked to indicate their preference. Results showed that the participants entering the restaurant preferred the chubby body type more while satiated men preferred the thinner or slender body types. It was also found that the relation between experimental conditions and the choices of the body type was mediated by men’s hunger scores.

Sign in / Sign up

Export Citation Format

Share Document