Adding Endoscopist-Directed Flexible Endoscopic Evaluation of Swallowing to the Videofluoroscopic Swallowing Study Increased the Detection Rates of Penetration, Aspiration, and Pharyngeal Residue
| العنوان: | Adding Endoscopist-Directed Flexible Endoscopic Evaluation of Swallowing to the Videofluoroscopic Swallowing Study Increased the Detection Rates of Penetration, Aspiration, and Pharyngeal Residue |
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| المؤلفون: | Joon Seong Lee, Su Jin Hong, Won Young Park, Jun-Hyung Cho, Joo Young Cho, Yang Gyun Lee, Ji Sung Lee, Nam Seok Ham, Seong Ran Jeon, Jin Oh Kim, Tae Hee Lee, Sang Jin Cho, Hyun Gun Kim, Ji Woong Park |
| المصدر: | Gut and Liver |
| بيانات النشر: | The Editorial Office of Gut and Liver, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Laryngoscopy, Video Recording, Videofluoroscopic swallowing study, Swallowing, Flexible endoscopic evaluation of swallowing, otorhinolaryngologic diseases, medicine, Humans, Fluoroscopy, Pharyngeal Residue, Aged, Retrospective Studies, Hepatology, medicine.diagnostic_test, business.industry, Pharynx, Gastroenterology, Reproducibility of Results, Endoscopy, Middle Aged, Dysphagia, Deglutition disorders, Deglutition, medicine.anatomical_structure, Female, Original Article, Radiology, Detection rate, medicine.symptom, business |
| الوصف: | Background/Aims Currently, the videofluoroscopic swallowing study (VFSS) is the standard tool for evaluating dysphagia. We evaluated whether the addition of endoscopist-directed flexible endoscopic evaluation of swallowing (FEES) to VFSS could improve the detection rates of penetration, aspiration, and pharyngeal residue, compared the diagnostic efficacy between VFSS and endoscopist-directed FEES and assessed the adverse events of the FEES. Methods In single tertiary referral center, a retrospective analysis of prospectively collected data was conducted. Fifty consecutive patients suspected of oropharyngeal dysphagia were enrolled in this study between January 2012 and July 2012. Results The agreement in the detection of penetration and aspiration between VFSS and FEES of viscous food (κ=0.34; 95% confidence interval [CI], 0.15 to 0.53) and liquid food (κ=0.22; 95% CI, 0.02 to 0.42) was “fair.” The agreement in the detection of pharyngeal residue between the two tests was “substantial” with viscous food (κ=0.63; 95% CI, 0.41 to 0.94) and “fair” with liquid food (κ=0.37; 95% CI, 0.10 to 0.63). Adding FEES to VFSS significantly increased the detection rates of penetration, aspiration, and pharyngeal residue. No severe adverse events were noted during FEES, except for two cases of epistaxis, which stopped spontaneously without requiring any packing. Conclusions This study demonstrated that the addition of endoscopist-directed FEES to VFSS increased the detection rates of penetration, aspiration, and pharyngeal residue. |
| تدمد: | 2005-1212 1976-2283 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::16384c6b4630af37abbb0785c91a5bd0 https://doi.org/10.5009/gnl14147 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....16384c6b4630af37abbb0785c91a5bd0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20051212 19762283 |
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