Dysphagia other diagnostic studies: Difference between revisions

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* Electroglottography (EGG) (records vocal fold movement)
* Electroglottography (EGG) (records vocal fold movement)
* Pharyngeal [[manometry]]
* Pharyngeal [[manometry]]
===Video Fluoroscopic Swallowing Study===
Video Fluoroscopic Swallowing Study(VFSS), also known as modified barium swallow, is used as the initial study for the evaluation of oropharyngeal dysphagia
It provides the following information about the oropharyngeal swallowing mechanism:
the inability or excessive delay in initiation of pharyngeal swallowing, aspiration of ingestate, nasopharyngeal regurgitation, and residue of ingestate within the pharyngeal cavity after swallowing
{{#ev:youtube|grIPYEwbCy4}}


===Esophageal Dysphagia===
===Esophageal Dysphagia===

Revision as of 14:39, 1 February 2018

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

Other Diagnostic Studies

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

Oropharyngeal Dysphagia

  • Videofloroscopic Swallowing Study
  • Electromyography (EMG)
  • Electroglottography (EGG) (records vocal fold movement)
  • Pharyngeal manometry

Video Fluoroscopic Swallowing Study

Video Fluoroscopic Swallowing Study(VFSS), also known as modified barium swallow, is used as the initial study for the evaluation of oropharyngeal dysphagia It provides the following information about the oropharyngeal swallowing mechanism: the inability or excessive delay in initiation of pharyngeal swallowing, aspiration of ingestate, nasopharyngeal regurgitation, and residue of ingestate within the pharyngeal cavity after swallowing

{{#ev:youtube|grIPYEwbCy4}}

Esophageal Dysphagia

  • Esophageal manometry
    • High resolution manometry
      • Uses miniature, multichannel, water-perfused catheters or solid-state catheters
      • Pressures are recorded along the esophageal body and across the gastroesophageal junction
      • Computerized interpolation generates esophageal pressure isocontour lines
    • Facilitates differentiation between a restrictive disorder and muscular weakness in the pharyngoesophageal segment

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.

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