Dysphagia other diagnostic studies: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 5: Line 5:


==Overview==
==Overview==
Other diagnostic studies for dysphagia include video fluoroscopic swallowing study and [[esophageal manometry]]. Video fluoroscopic swallowing study, also known as modified barium swallow, is used as the initial study for the evaluation of oropharyngeal dysphagia.
Other diagnostic studies for dysphagia include [[esophageal manometry]], electromyography, and electroglottograpghy.


==Other Diagnostic Studies==
==Other Diagnostic Studies==
Other diagnostics studies for dysphagia are as follows:<ref name="PandolfinoGhosh2008">{{cite journal|last1=Pandolfino|first1=John E|last2=Ghosh|first2=Sudip K|last3=Rice|first3=John|last4=Clarke|first4=John O|last5=Kwiatek|first5=Monika A|last6=Kahrilas|first6=Peter J|title=Classifying Esophageal Motility by Pressure Topography Characteristics: A Study of 400 Patients and 75 Controls|journal=The American Journal of Gastroenterology|volume=103|issue=1|year=2008|pages=27–37|issn=0002-9270|doi=10.1111/j.1572-0241.2007.01532.x}}</ref><ref name="OmariBakewell1996">{{cite journal|last1=Omari|first1=T.|last2=Bakewell|first2=M.|last3=Fraser|first3=R.|last4=Malbert|first4=C.|last5=Davidson|first5=G.|last6=Dent|first6=J.|title=Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors|journal=Neurogastroenterology & Motility|volume=8|issue=3|year=1996|pages=241–245|issn=13501925|doi=10.1111/j.1365-2982.1996.tb00263.x}}</ref>
Other diagnostics studies for dysphagia are as follows:<ref name="PandolfinoGhosh2008">{{cite journal|last1=Pandolfino|first1=John E|last2=Ghosh|first2=Sudip K|last3=Rice|first3=John|last4=Clarke|first4=John O|last5=Kwiatek|first5=Monika A|last6=Kahrilas|first6=Peter J|title=Classifying Esophageal Motility by Pressure Topography Characteristics: A Study of 400 Patients and 75 Controls|journal=The American Journal of Gastroenterology|volume=103|issue=1|year=2008|pages=27–37|issn=0002-9270|doi=10.1111/j.1572-0241.2007.01532.x}}</ref><ref name="OmariBakewell1996">{{cite journal|last1=Omari|first1=T.|last2=Bakewell|first2=M.|last3=Fraser|first3=R.|last4=Malbert|first4=C.|last5=Davidson|first5=G.|last6=Dent|first6=J.|title=Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors|journal=Neurogastroenterology & Motility|volume=8|issue=3|year=1996|pages=241–245|issn=13501925|doi=10.1111/j.1365-2982.1996.tb00263.x}}</ref>
===Oropharyngeal Dysphagia===
* Videofloroscopic Swallowing Study
* [[Electromyography]] (EMG)
* [[Electromyography]] (EMG)
* Electroglottography (EGG) (records vocal fold movement)
* Electroglottography (EGG) (records vocal fold movement)
* Pharyngeal [[manometry]]
* Manometry
===Video Fluoroscopic Swallowing Study===
 
Video fluoroscopic swallowing study, also known as modified barium swallow, is used as the initial study for the evaluation of oropharyngeal dysphagia.<ref name="pmid17549634">{{cite journal| author=Mainie I, Tutuian R, Patel A, Castell DO| title=Regional esophageal dysfunction in scleroderma and achalasia using multichannel intraluminal impedance and manometry. | journal=Dig Dis Sci | year= 2008 | volume= 53 | issue= 1 | pages= 210-6 | pmid=17549634 | doi=10.1007/s10620-007-9845-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17549634 }} </ref><ref name="pmid23150831">{{cite journal| author=Herbella FA| title=Critical analysis of esophageal multichannel intraluminal impedance monitoring 20 years later. | journal=ISRN Gastroenterol | year= 2012 | volume= 2012 | issue=  | pages= 903240 | pmid=23150831 | doi=10.5402/2012/903240 | pmc=3488400 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23150831  }} </ref><ref name="pmid11213249">{{cite journal| author=Perry L, Love CP| title=Screening for dysphagia and aspiration in acute stroke: a systematic review. | journal=Dysphagia | year= 2001 | volume= 16 | issue= 1 | pages= 7-18 | pmid=11213249 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11213249  }} </ref>
=== Esophageal manometry ===
Manometry is performed to assess motor function of the esophagus.
*High resolution manometry is recommended.
*Most commonly indicated for diagnosing esophageal dysphagia.
*Uses miniature, multichannel, water-perfused catheters or solid-state catheters
*Pressures gradients are recorded along the esophageal body and  the gastroesophageal junction
*Computerized interpolation generates esophageal pressure isocontour lines.


It provides the following information about the oropharyngeal swallowing mechanism:<ref name="pmid18230864">{{cite journal| author=Logemann JA, Gensler G, Robbins J, Lindblad AS, Brandt D, Hind JA et al.| title=A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson's disease. | journal=J Speech Lang Hear Res | year= 2008 | volume= 51 | issue= 1 | pages= 173-83 | pmid=18230864 | doi=10.1044/1092-4388(2008/013) | pmc=2894528 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18230864  }} </ref>
* Facilitates differentiation between a restrictive disorder and muscular weakness in the pharyngoesophageal segment.
* Delay in initiation of pharyngeal swallowing
* Nasopharyngeal regurgitation
* Residue of ingestate within the pharyngeal cavity after swallowing
* Aspiration of ingestate
====Video====
{{#ev:youtube|grIPYEwbCy4}}


===Esophageal Dysphagia===
=== Electromyography ===
*[[Esophageal manometry]]
* Electromyography has limited use clinically in diagnosing dysphagia.
**High resolution manometry
* Two subtypes:
***Uses miniature, multichannel, water-perfused catheters or solid-state catheters
** Swallowing electromyography
***Pressures are recorded along the esophageal body and across the gastroesophageal junction
** Laryngeal electromyography
***Computerized interpolation generates esophageal pressure isocontour lines
**Facilitates differentiation between a restrictive disorder and muscular weakness in the pharyngoesophageal segment


====Video====
====Video====

Revision as of 17:42, 23 February 2018

Dysphagia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Dysphagia from other Conditions

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Barium Swallow

Endoscopy

CT

MRI

Echocardiography and Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Dysphagia other diagnostic studies On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Dysphagia other diagnostic studies

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Dysphagia other diagnostic studies

CDC on Dysphagia other diagnostic studies

Dysphagia other diagnostic studies in the news

Blogs on Dysphagia other diagnostic studies

Directions to Hospitals Treating Dysphagia

Risk calculators and risk factors for Dysphagia other diagnostic studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2], Feham Tariq, MD [3]

Overview

Other diagnostic studies for dysphagia include esophageal manometry, electromyography, and electroglottograpghy.

Other Diagnostic Studies

Other diagnostics studies for dysphagia are as follows:[1][2]

  • Electromyography (EMG)
  • Electroglottography (EGG) (records vocal fold movement)
  • Manometry

Esophageal manometry

Manometry is performed to assess motor function of the esophagus.

  • High resolution manometry is recommended.
  • Most commonly indicated for diagnosing esophageal dysphagia.
  • Uses miniature, multichannel, water-perfused catheters or solid-state catheters
  • Pressures gradients are recorded along the esophageal body and the gastroesophageal junction
  • Computerized interpolation generates esophageal pressure isocontour lines.
  • Facilitates differentiation between a restrictive disorder and muscular weakness in the pharyngoesophageal segment.

Electromyography

  • Electromyography has limited use clinically in diagnosing dysphagia.
  • Two subtypes:
    • Swallowing electromyography
    • Laryngeal electromyography

Video

{{#ev:youtube|795yXyvZaAs}}

References

  1. Pandolfino, John E; Ghosh, Sudip K; Rice, John; Clarke, John O; Kwiatek, Monika A; Kahrilas, Peter J (2008). "Classifying Esophageal Motility by Pressure Topography Characteristics: A Study of 400 Patients and 75 Controls". The American Journal of Gastroenterology. 103 (1): 27–37. doi:10.1111/j.1572-0241.2007.01532.x. ISSN 0002-9270.
  2. Omari, T.; Bakewell, M.; Fraser, R.; Malbert, C.; Davidson, G.; Dent, J. (1996). "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors". Neurogastroenterology & Motility. 8 (3): 241–245. doi:10.1111/j.1365-2982.1996.tb00263.x. ISSN 1350-1925.

Template:WH Template:WS