scholarly journals Development of Swallowing Function in Infants with Oral Feeding Difficulties

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Changhun Han ◽  
Jaeho Shin ◽  
Ga Won Jeon
Keyword(s):  
Preterm Infants ◽  
Oral Feeding ◽  
Barium Swallow ◽  
Dietary Modification ◽  
Modified Barium Swallow ◽  
Feeding Difficulties ◽  
Swallowing Dysfunction ◽  
Swallow Study ◽  
Modified Barium Swallow Study ◽  
Swallow Therapy

Background. Discharge of preterm infants is often delayed because of their oral feeding difficulties. Independent oral feeding is the last obstacle to pass after managing acute and chronic morbidities. We conducted this study to determine the prevalence, characteristics, and risk factors of swallowing dysfunction and suggest proper interventions to reduce aspiration and chronic lung injury. Methods. Infants admitted to the neonatal intensive care unit (January 2016 to December 2018) who were performed modified barium swallow study due to oral feeding difficulties were enrolled. Modified barium swallow study was done≥postmenstrual age 37 weeks to limit radiation exposure. Clinical data were collected retrospectively. Swallowing dysfunction was defined as inadequate epiglottic closure, laryngeal penetration, or tracheal aspiration according to result of the modified barium swallow study. Results. Among a total of 54 infants enrolled, nine (16.7%) were term infants, 13 (24.1%) were late preterm infants (gestational age, 34-36 weeks), and 32 (59.3%) were early preterm infants (gestational age<34 weeks). Gestational age and birth weight were smaller in infants with swallowing dysfunction. Total duration of mechanical ventilation and duration of invasive ventilation were longer in infants with swallowing dysfunction. The risk of swallowing dysfunction increased by 11.2 times for infants with gestational age<29 weeks compared to infants with gestational age≥29 weeks. Swallowing dysfunction was improved in most infants after they became matured. They showed different time and rate of maturation with the help of rehabilitation through swallow therapy and dietary modification with thickened formula. Conclusion. Preterm infants with gestational age<29 weeks or with longer ventilation duration are at a higher risk of aspiration. Rehabilitation of swallow therapy and dietary modification with thickened formula can be helpful interventions to prevent aspiration and chronic lung injury and reassure parents until independent oral feeding is possible.

Retained Esophageal Contrast on Modified Barium Swallow Study Predicts Abnormal High Resolution Esophageal Manometry

2017 ◽  
Vol 152 (5) ◽  
pp. S697
Author(s):  
David Lin ◽  
Jeremy Wang ◽  
Andrew A. Erman ◽  
Dinesh Chhetri ◽  
Conklin Jeffrey
Keyword(s):  
High Resolution ◽  
Esophageal Manometry ◽  
Barium Swallow ◽  
Modified Barium Swallow ◽  
Swallow Study ◽  
Modified Barium Swallow Study

scholarly journals Identification of Swallowing Tasks From a Modified Barium Swallow Study That Optimize the Detection of Physiological Impairment

2017 ◽  
Vol 60 (7) ◽  
pp. 1855-1863 ◽  
Author(s):  
R. Jordan Hazelwood ◽  
Kent E. Armeson ◽  
Elizabeth G. Hill ◽  
Heather Shaw Bonilha ◽  
Bonnie Martin-Harris
Keyword(s):  
Generalized Estimating Equations ◽  
High Probability ◽  
Secondary Data ◽  
Barium Swallow ◽  
Oral Clearance ◽  
Airway Protection ◽  
Modified Barium Swallow ◽  
Severe Impairment ◽  
Swallow Study ◽  
Modified Barium Swallow Study

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.

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

2016 ◽  
Vol 136 (6) ◽  
pp. 592-597 ◽  
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

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

2017 ◽  
Vol 27 (7) ◽  
pp. 1241-1247 ◽  
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.

scholarly journals Factors Influencing Initiation of Pharyngeal Swallow in Healthy Adults

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

The Role of the Modified Barium Swallow Study and Esophagram in Patients with Globus Sensation

Dysphagia ◽  
2015 ◽  
Vol 30 (5) ◽  
pp. 506-510 ◽  
Author(s):  
James P. Dworkin ◽  
Jayme R. Dowdall ◽  
Mark Kubik ◽  
Prasad John Thottam ◽  
Adam Folbe
Keyword(s):  
Barium Swallow ◽  
Modified Barium Swallow ◽  
Globus Sensation ◽  
Swallow Study ◽  
Modified Barium Swallow Study
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