Document Detail


Oropharyngeal dysphagia: pathophysiology and diagnosis for the anniversary issue of Diseases of the Esophagus.
MedLine Citation:
PMID:  21595782     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The oropharyngeal swallow involves a rapid, highly coordinated set of neuromuscular actions beginning with lip closure and terminating with opening of the upper esophageal sphincter. Evaluation of the oropharyngeal swallow usually involves the use of a modified barium swallow radiographic study with the goals of (i) defining the patient's swallow anatomy and physiology causing the dysphagia; and (ii) evaluating the immediate effectiveness of treatment procedures including selected postures, sensory enhancement, swallow maneuvers, and diet changes. Exercise programs may be helpful, but their immediate effects cannot be examined during the initial modified barium swallow. Exercise programs can be evaluated on a second radiographic study 3-4 weeks later. The resultant report should include all of this information. The speech-language pathologist is usually the professional most involved in the evaluation and treatment. Medications and surgery have a very limited role in the treatment of oropharyngeal dysphagia.
Authors:
J A Logemann; K Larsen
Publication Detail:
Type:  Journal Article     Date:  2011-05-19
Journal Detail:
Title:  Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus / I.S.D.E     Volume:  25     ISSN:  1442-2050     ISO Abbreviation:  Dis. Esophagus     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-16     Completed Date:  2012-10-29     Revised Date:  2013-07-18    
Medline Journal Info:
Nlm Unique ID:  8809160     Medline TA:  Dis Esophagus     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  299-304     Citation Subset:  IM    
Copyright Information:
© 2011 Copyright the Authors. Journal compilation © 2011, Wiley Periodicals, Inc. and the International Society for Diseases of the Esophagus.
Affiliation:
Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL 60208, USA. j-logemann@northwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Aging
Barium Sulfate / diagnostic use
Deglutition
Deglutition Disorders / diagnosis*,  physiopathology*,  therapy
Esophagus / physiopathology
Humans
Oropharynx / physiopathology*
Chemical
Reg. No./Substance:
7727-43-7/Barium Sulfate
Comments/Corrections
Comment In:
Dysphagia. 2013 Jun;28(2):271-7   [PMID:  23397473 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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