Clinical and radiologic evaluation reveals high prevalence of abnormalities in young adults with dysphagia.

Abstract:

:The purpose of this study was to retrospectively evaluate the radiologic findings in young adults with dysphagia undergoing barium swallow and to compare these with the final clinical diagnosis. Clinical history, barium swallow, endoscopy (21 patients), manometry (18 patients), 24 h pH monitoring (4 patients), and outcome of treatments were studied and compared in 43 patients aged 14-30 years (mean 24 years). There were 26 men and 17 women. Duration of symptoms varied between 2 weeks and 22 years and included globus (n = 22), obstruction (n = 31), water brash (n = 6), classic reflux symptoms (n = 10), atypical reflux symptoms (n = 9), slow eating (n = 6), and vomiting (n = 11). The final diagnosis was achalasia (n = 2), arteria lusoria (n = 1), esophagitis (n = 1), esophageal dysfunction (n = 11), esophageal stricture (n = 5), gastroesophageal reflux disease (n = 8), and pharyngeal dysfunction (n = 2). Thirteen patients were assessed to be normal. The result of the barium swallow was in agreement with the final diagnosis in all but 3 patients who were assessed as normal, and the final diagnosis was esophagitis (n = 1), dysmotility (n = 1), and reflux disease (n = 1). Anatomic and functional abnormalities are common in young adults with dysphagia. Barium swallow reveals the explanation of the symptoms in 70% of such patients. Radiology therefore should be the method of choice for the investigation of dysphagic young adults.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Lundquist A,Olsson R,Ekberg O

doi

10.1007/PL00009572

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

202-7

issue

4

eissn

0179-051X

issn

1432-0460

pii

10.1007/PL00009572

journal_volume

13

pub_type

杂志文章
  • Dietary management of swallowing disorders.

    abstract::Two major concerns in the dietary management of the dysphagic patient are to maintain adequate nutrition and to ensure safety during oral feeding. Dysphagic patients require modifications of standard hospital diets. Kitchen or nursing staff must remove from standard diet trays solid foods and liquids that pose swallow...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF02493514

    authors: Martin AW

    更新日期:1991-01-01 00:00:00

  • Patient Adherence to Dysphagia Recommendations: A Systematic Review.

    abstract::Patient adherence to treatment recommendations is an important issue for healthcare providers, in a multitude of specialties, and is critical when assessing the efficacy and effectiveness of a particular treatment approach. Patients who have swallowing impairment often require complex and specific interventions requir...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9852-9

    authors: Krekeler BN,Broadfoot CK,Johnson S,Connor NP,Rogus-Pulia N

    更新日期:2018-04-01 00:00:00

  • A study of the early stage of Dysphagia in amyotrophic lateral sclerosis.

    abstract::In amyotrophic lateral sclerosis (ALS) patients, dysphagia eventually occurs independent of time of onset. We studied dysphagia conditions in the early stage of ALS, principally at the oral phase. Videofluoroscopic and manometric studies were conducted on 11 patients (5 males and 6 females, age range = 47-82 years) wh...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-002-0074-3

    authors: Kawai S,Tsukuda M,Mochimatsu I,Enomoto H,Kagesato Y,Hirose H,Kuroiwa Y,Suzuki Y

    更新日期:2003-01-01 00:00:00

  • Image-based measurement of post-swallow residue: the normalized residue ratio scale.

    abstract::Post-swallow residue is considered a sign of swallowing impairment. Existing methods for capturing post-swallow residue (perceptual and quantitative) have inherent limitations. We employed several different perceptual and quantitative (ratio) methods for measuring post-swallow residue on the same 40 swallows and addre...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-012-9426-9

    authors: Pearson WG Jr,Molfenter SM,Smith ZM,Steele CM

    更新日期:2013-06-01 00:00:00

  • Esophageal Function Tests are Not Associated with Barium Swallow Findings in Advanced Lung Disease.

    abstract::Gastroesophageal reflux disease and esophageal dysmotility are common in patients with advanced lung disease (ALD) and are associated with worse outcomes. Assessing esophageal function in these patients is relevant for determining pulmonary transplant eligibility and prognosticating post-transplant outcomes. Barium Sw...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10113-2

    authors: Posner S,Mehta K,Parish A,Niedzwiecki D,Gupta RT,Fisher DA,Leiman DA

    更新日期:2020-10-01 00:00:00

  • Multiple swallows and piecemeal deglutition; observations from normal adults and patients with head and neck cancer.

    abstract::The incidence of multiple swallows for liquid and paste, and the time delay between multiple swallows, was determined from videofluoroscopic records of modified barium swallow tests. In a comparison of liquid and paste, the overall incidence of multiple swallows did not differ, for either patients with head and neck c...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02493415

    authors: Dziadziola J,Hamlet S,Michou G,Jones L

    更新日期:1992-01-01 00:00:00

  • Treatment Effects for Dysphagia in Adults with Multiple Sclerosis: A Systematic Review.

    abstract::Dysphagia or swallowing difficulties have been reported to be a concern in adults with multiple sclerosis (MS). This problem can result in several complications including aspiration pneumonia, reduced quality of life and an increase in mortality rate. No previous systematic reviews on treatment effects for dysphagia i...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-016-9738-2

    authors: Alali D,Ballard K,Bogaardt H

    更新日期:2016-10-01 00:00:00

  • Earliest videofluoromanometric pharyngeal signs of dysphagia in ALS patients.

    abstract::The aim of this study was to find whether there are manometric pharyngeal changes that may have diagnostic and prognostic relevance in the amyotrophic lateral sclerosis (ALS) patient who does not show changes in contrast-medium oropharyngeal transit in a videofluoroscopic swallowing study. Ten ALS patients, with an AL...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-014-9542-9

    authors: Solazzo A,Monaco L,Vecchio LD,Reginelli A,Iacobellis F,Capasso R,Tamburrini S,Berritto D,Barillari MR,Monsurrò MR,Di Martino N,Grassi R

    更新日期:2014-10-01 00:00:00

  • Variations in Healthy Swallowing Mechanics During Various Bolus Conditions Using Computational Analysis of Swallowing Mechanics (CASM).

    abstract::Bolus properties such as volume, consistency, and density have been shown to influence swallowing through the analysis of kinematics and timing in both normal and disordered swallowing. However, inherent intra- and inter-person variability of swallowing cloud interpretation of group data. Computational analysis of swa...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-019-10026-9

    authors: Lenell C,Brates D,Pearson WG Jr,Molfenter S

    更新日期:2020-04-01 00:00:00

  • A Meta-Analysis of the Incidence of Patient-Reported Dysphagia After Anterior Cervical Decompression and Fusion with the Zero-Profile Implant System.

    abstract::Dysphagia is a well-known complication following anterior cervical surgery. It has been reported that the Zero-profile Implant System can decrease the incidence of dysphagia following surgery, however, dysphagia after anterior cervical decompression and fusion (ACDF) with the Zero-profile Implant System remains contro...

    journal_title:Dysphagia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00455-015-9681-7

    authors: Yang Y,Ma L,Liu H,Xu M

    更新日期:2016-04-01 00:00:00

  • Effects of Low-Frequency Repetitive Transcranial Magnetic Stimulation on Swallowing Function and Quality of Life of Post-stroke Patients.

    abstract::Repetitive transcranial magnetic stimulation (rTMS) is one of the non-invasive techniques, which is used to modulate cortical regions in patients with stroke. The aim of this single blind, controlled study was to investigate the effect of rTMS on swallowing function and quality of life of mono-hemispheric post-stroke ...

    journal_title:Dysphagia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00455-018-09965-6

    authors: Ünlüer NÖ,Temuçin ÇM,Demir N,Serel Arslan S,Karaduman AA

    更新日期:2019-06-01 00:00:00

  • Modern solid state computerized manometry of the pharyngoesophageal segment.

    abstract::There has been renewed interest in the use of manometry of the pharyngoesophageal segment in the investigation of pharyngeal dysphagia. Advances in technology have alleviated previous difficulties presented by factors such as the rapid response rate of the striated muscle and asymmetry of the upper esophageal sphincte...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF01354550

    authors: Castell JA,Castell DO

    更新日期:1993-01-01 00:00:00

  • Systematic desensitization of oral hypersensitivity in a patient with a closed head injury.

    abstract::A 36-year-old man who had sustained a closed head injury displayed extreme fear of being stimulated in the oral cavity, of being presented with foods, and of swallowing. The patient's fear increased his muscle tone and hypersensitivity in the facial and oral area, thereby preventing assessment of his dysphagia. We des...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02493445

    authors: Brown GE,Nordloh S,Donowitz AJ

    更新日期:1992-01-01 00:00:00

  • Anterior cervical osteophytes causing dysphagia and dyspnea: an uncommon entity revisited.

    abstract::Large anterior cervical osteophytes can occur in degeneration of the cervical spine or in diffuse idiopathic skeletal hyperostosis (DISH). We present the case of an 83-year-old patient with progressive dysphagia and acute dyspnea, necessitating emergency tracheotomy. Voluminous anterior cervical osteophytes extending ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-006-9049-0

    authors: Giger R,Dulguerov P,Payer M

    更新日期:2006-10-01 00:00:00

  • Comparative review of techniques for recording respiratory events at rest and during deglutition.

    abstract::The coordination between swallowing and respiration is essential for safe feeding, and noninvasive feeding-respiratory instrumentation has been used in feeding and dysphagia assessment. Sometimes there are differences of interpretation of the data produced by the various respiratory monitoring techniques, some of whic...

    journal_title:Dysphagia

    pub_type: 杂志文章,meta分析

    doi:10.1007/pl00009515

    authors: Tarrant SC,Ellis RE,Flack FC,Selley WG

    更新日期:1997-01-01 00:00:00

  • Medical treatment of esophageal motility disorders.

    abstract::Swallowing is a complex mechanism that is based on the coordinated interplay of tongue, pharynx, and esophagus. Disturbances of this interplay or disorders of one or several of these components lead to dysphagia, non-cardiac chest pain, or regurgitation. The major esophageal motility disorders include achalasia, diffu...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF02266993

    authors: Allescher HD,Ravich WJ

    更新日期:1993-01-01 00:00:00

  • Preliminary ultrasound observation of lingual movement patterns during nutritive versus non-nutritive sucking in a premature infant.

    abstract::Term neonates must suck, swallow, and respire in a coordinated manner during successful oral feeding. When infants are born prematurely, these skills may not be fully mature. To stimulate sucking responses, premature infants are offered pacifiers under the premise that non-nutritive sucking experiences facilitate oral...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-006-9058-z

    authors: Miller JL,Kang SM

    更新日期:2007-04-01 00:00:00

  • A Pilot Study of the Head Extension Swallowing Exercise: New Method for Strengthening Swallowing-Related Muscle Activity.

    abstract::This pilot study examined the effect of a new head extension swallowing exercise (HESE) on submental muscle activity and tongue strength in healthy volunteers. Fifteen young adults (10 females and 5 males) were instructed to extend their head backwards as much as possible, and while watching the ceiling, swallowed the...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-016-9732-8

    authors: Oh JC

    更新日期:2016-10-01 00:00:00

  • Comparison of Two Methods for Inducing Reflex Cough in Patients With Parkinson's Disease, With and Without Dysphagia.

    abstract::Aspiration pneumonia is a common cause of death in people with Parkinson's disease (PD). Dysfunctional swallowing occurs in the majority of people with PD, and research has shown that cough function is also impaired. Previous studies suggest that testing reflex cough by having participants inhale a cough-inducing stim...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-015-9659-5

    authors: Hegland KW,Troche MS,Brandimore A,Okun MS,Davenport PW

    更新日期:2016-02-01 00:00:00

  • Silent aspiration: what do we know?

    abstract::Although clinically evident aspiration is common in subjects with dysphagia, a significant proportion may aspirate silently, i.e., without any outward signs of swallowing difficulty. This article reviews the literature on the prevalence, etiology, and prognostic significance of silent aspiration. An electronic databas...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-005-0018-9

    authors: Ramsey D,Smithard D,Kalra L

    更新日期:2005-07-01 00:00:00

  • "Wet Voice" as a predictor of penetration and aspiration in oropharyngeal dysphagia.

    abstract::This article describes the results of a study that investigated how well wet phonation can predict penetration and/or aspiration of ingested material in dysphagic patients. Voice samples of 23 subjects with neurologic oropharyngeal dysphagia were collected immediately after each subject had swallowed nine different bo...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s004550010005

    authors: Warms T,Richards J

    更新日期:2000-04-01 00:00:00

  • Simultaneous videofluoroscopic swallow study and modified Evans blue dye procedure: An evaluation of blue dye visualization in cases of known aspiration.

    abstract::The reliability of the modified Evans blue dye (MEBD) test for the detection of aspirated materials in patients with tracheostomy has been questioned. The videofluoroscopic swallow study (VFSS) has been the standard procedure used to detect aspiration, but there are known risks and the VFSS is not always an available ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/PL00009596

    authors: Brady SL,Hildner CD,Hutchins BF

    更新日期:1999-07-01 00:00:00

  • Prevalence of aspiration and laryngeal penetration in patients with unilateral vocal fold motion impairment.

    abstract::The adverse consequences of aspiration in regard to patient health and quality of life are well documented. It is generally accepted that the probability of aspiration is increased in patients with unilateral vocal fold motion impairment, however, the incidence and proposed mechanism of aspiration vary depending on th...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s004550000026

    authors: Heitmiller RF,Tseng E,Jones B

    更新日期:2000-10-01 00:00:00

  • Swallowing and respiratory distress in hospitalized patients with bronchiolitis.

    abstract::The aim of this study was to evaluate the risk of airway and/or pulmonary food or saliva aspiration in infants with moderate respiratory distress who are hospitalized with respiratory syncytial virus (RSV) bronchiolitis. This prospective, descriptive study was conducted during two epidemic RSV seasons at the Ricardo G...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-013-9470-0

    authors: Maffey A,Moviglia T,Mirabello C,Blumenthal L,Gentile L,Niremberg M,Gilligan G,Teper A

    更新日期:2013-12-01 00:00:00

  • A Systematic Review of the Prevalence of Oropharyngeal Dysphagia in Stroke, Parkinson's Disease, Alzheimer's Disease, Head Injury, and Pneumonia.

    abstract::Oropharyngeal dysphagia is a common condition after stroke, Parkinson's disease (PD), and Alzheimer's disease (AD), and can cause serious complications including malnutrition, aspiration pneumonia, and premature mortality. Despite its high prevalence among the elderly and associated serious complications, dysphagia is...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-016-9695-9

    authors: Takizawa C,Gemmell E,Kenworthy J,Speyer R

    更新日期:2016-06-01 00:00:00

  • A prospective assessment of the characteristics of dysphagia in myasthenia gravis.

    abstract::Fatigable muscle weakness is the clinical hallmark of the human autoimmune disease myasthenia gravis (MG). Weakness of the oropharyngeal muscles produces dysphagia, which continues to be a major source of morbidity in MG. In this study we prospectively assessed 20 patients with myasthenia gravis who described difficul...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-001-0114-4

    authors: Colton-Hudson A,Koopman WJ,Moosa T,Smith D,Bach D,Nicolle M

    更新日期:2002-04-01 00:00:00

  • The Effect of the Cervical Orthosis on Swallowing Physiology and Cervical Spine Motion During Swallowing.

    abstract::Cervical orthosis is used to immobilize the neck in various disorders such as trauma and post-operation. However, it is still uncertain how cervical orthosis restricts the degree of movement of the cervical spine during swallowing and how they affect swallowing physiology. The purpose of this study was to evaluate the...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-015-9660-z

    authors: Mekata K,Takigawa T,Matsubayashi J,Toda K,Hasegawa Y,Ito Y

    更新日期:2016-02-01 00:00:00

  • Biomechanical analysis of hyoid bone displacement in videofluoroscopy: a systematic review of intervention effects.

    abstract::This systematic review explores studies using biomechanical analysis of hyoid bone displacement in videofluoroscopy of swallowing as a spatial outcome parameter to evaluate intervention effects. Two authors independently carried out the literature search using the electronic databases Embase, PubMed, and Cochrane Libr...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-010-9318-9

    authors: van der Kruis JG,Baijens LW,Speyer R,Zwijnenberg I

    更新日期:2011-06-01 00:00:00

  • Neuroplasticity and swallowing.

    abstract::Recent research has suggested that the central nervous system controlling swallowing can undergo experience-dependent plasticity. Moreover, swallowing neuroplastic change may be associated with behavioural modulation. This article presents research evidence suggesting that nonbehavioural and behavioural interventions,...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-008-9193-9

    authors: Martin RE

    更新日期:2009-06-01 00:00:00

  • Confirmation of no causal relationship between tracheotomy and aspiration status: a direct replication study.

    abstract::Debate continues regarding an association between tracheotomy and aspiration status. The aim of this research was to perform a direct replication study to investigate further the causal relationship, if any, between tracheotomy and aspiration. Twenty-five consecutive adult hospitalized patients participated. Inclusion...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-009-9226-z

    authors: Leder SB,Ross DA

    更新日期:2010-03-01 00:00:00