Abstract:
:Digestive surgeons should form part of the multidisciplinary team managing patients with oropharyngeal dysphagia. These patients can be diagnosed through clinical methods and complementary investigations such as videofluoroscopy and pharyngoesophageal manometry. These techniques also allow specific treatment to be selected. Up to one-third of patients with dysphagia suffer from malnutrition as a result of alterations in food bolus transport. Furthermore, up to two-thirds show alterations in swallowing safety (penetrations and aspirations, especially when swallowing liquids), as well as a high risk of respiratory infections and aspiration pneumonia. Increasing food bolus viscosity to 3500-4000 mPas (pudding viscosity) improves the effectiveness of swallowing and reduces the risk of aspirations. Botulinic toxin injection in the upper esophageal sphincter is indicated in patients with spasticity of neuromuscular origin. Cricopharyngeal myotomy is the basis of treatment for Zenker's diverticulum and is also indicated in patients with alterations in the upper esophageal sphincter and preserved oropharyngeal motor response.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Clavé P,Arreola V,Velasco M,Quer M,Castellví JM,Almirall J,García Peris P,Carrau Rdoi
10.1016/s0009-739x(07)71672-xsubject
Has Abstractpub_date
2007-08-01 00:00:00pages
62-76issue
2eissn
0009-739Xissn
1578-147Xpii
13108831journal_volume
82pub_type
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