Document Detail

Swallowing disorders, pneumonia and respiratory tract infectious disease in the elderly.
MedLine Citation:
PMID:  22099417     Owner:  NLM     Status:  In-Data-Review    
Swallowing disorders (or dysphagia) are common in the elderly and their prevalence is often underestimated. They may result in serious complications including dehydration, malnutrition, airway obstruction, aspiration pneumonia (infectious process) or pneumonitis (chemical injury caused by the inhalation of sterile gastric contents). Moreover the repercussions of dysphagia are not only physical but also emotional and social, leading to depression, altered quality of life, and social isolation. While some changes in swallowing may be a natural result of aging, dysphagia in the elderly is mainly due to central nervous system diseases such as stroke, parkinsonism, dementia, medications, local oral and oesophageal factors. To be effective, management requires a multidisciplinary team approach and a careful assessment of the patient's oropharyngeal anatomy and physiology, medical and nutritional status, cognition, language and behaviour. Clinical evaluation can be completed by a videofluoroscopic study which enables observation of bolus movement and movements of the oral cavity, pharynx and larynx throughout the swallow. The treatment depends on the underlying cause, extent of dysphagia and prognosis. Various categories of treatment are available, including compensatory strategies (postural changes and dietary modification), direct or indirect therapy techniques (swallow manoeuvres, medication and surgical procedures).
F Puisieux; C D'Andrea; P Baconnier; D Bui-Dinh; S Castaings-Pelet; B Crestani; B Desrues; C Ferron; A Franco; J Gaillat; H Guenard; B Housset; C Jeandel; G Jebrak; A Leymarie-Saddles; E Orvoen-Frija; F Piette; G Pinganaud; J-Y Salle; D Strubel; J-M Vernejoux; B de Wazières; S Weil-Engerer;
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Publication Detail:
Type:  Journal Article     Date:  2011-10-22
Journal Detail:
Title:  Revue des maladies respiratoires     Volume:  28     ISSN:  1776-2588     ISO Abbreviation:  Rev Mal Respir     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8408032     Medline TA:  Rev Mal Respir     Country:  France    
Other Details:
Languages:  eng     Pagination:  e76-93     Citation Subset:  IM    
Copyright Information:
Copyright © 2011. Published by Elsevier Masson SAS.
Service de gériatrie, hôpital des Bateliers, CHRU de Lille, 23, rue des Bateliers, 59037 Lille cedex, France.
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