Protocols and assessment procedures in fiberoptic endoscopic evaluation of swallowing: an updated systematic review

Prikladnicki, Aline; Santana, Márcia Grassi; Cardoso, Maria Cristina de Almeida Freitas

doi:10.1016/j.bjorl.2021.03.002

Cited by 4 publications

(2 citation statements)

References 46 publications

(110 reference statements)

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“…A recent systematic review identified the absence of standardized FEES protocols for the adult population with neurological diseases 36 . However, it is essential to understand that ALS patients have specific swallowing characteristics compared to other neurological diseases, such as Parkinson's disease or myasthenia gravis due to the different pathophysiology 5 .…”

Section: Penetration and Aspirationmentioning

confidence: 99%

Fiberoptic endoscopic evaluation of swallowing in patients with amyothrophic lateral sclerosis: an integrative literature review

et al. 2021

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Purpose: to provide an integrative review of the current evidence on the fiberoptic endoscopic evaluation of swallowing performing procedures and analysis parameters in patients with amyotrophic lateral sclerosis. Methods: the study question followed the PECO strategy, and the search was performed in Medline, Cochrane, Scopus, Lilacs, Web of Science, and CINAHL databases, using keywords and specific free terms. Two authors screened eligible articles published from 2013 to October 2021 and extracted data on fiberoptic endoscopic evaluation of swallowing performing procedures and analysis parameters in patients with amyotrophic lateral sclerosis. Literature Review: of the 1,570 articles initially identified, 14 were eligible. There was no consensus on the consistency, volume, and type of food, utensils, sequence, and number of repetitions of each task during the exam. The analysis parameters, when described, were distinct. Although with different classification criteria, the observation of pharyngeal residue, laryngeal penetration, and laryngotracheal aspiration was included in all studies. Conclusion: fiberoptic endoscopic evaluation of swallowing performing procedures and analysis parameters are not standardized in studies with amyotrophic lateral sclerosis patients.

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Section: Penetration and Aspirationmentioning

confidence: 99%

Fiberoptic endoscopic evaluation of swallowing in patients with amyothrophic lateral sclerosis: an integrative literature review

et al. 2021

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“…A recent systematic review [ 5 ] stated that FEES protocols for the adult population, especially for patients with a neurogenic main emphasis, are very well developed and well researched. Yet, even those protocols contain disagreements and inaccuracies.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Pediatric Flexible-Endoscopic Evaluation of Swallowing: A Systematic Review and Recommendations for Future Research

et al. 2022

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Background Although pediatric flexible-endoscopic evaluation of swallowing (FEES) has developed into a standard in dysphagia diagnostics, there are no valid protocols and procedures for children available to date. Objective This systematic PROSPERO-registered review aimed to identify implementation protocols for pediatric FEES described in research studies, and to analyze them in detail concerning procedural steps, equipment, and reported outcome. Methods Included were all studies reporting a pediatric FEES protocol for children aged 0–18 years, if they described at least two criteria defined in advance. The databases MEDLINE and CINHAL were searched systematically from January 2000 to February 2021. Risk of bias for included studies was assessed using the National Institutes of Health (NIH) quality assessment tool for observational cohort and cross-sectional studies. A narrative synthesis of the FEES protocols was conducted and the results compared in tabular form. Results In total 22 studies were included, reporting on FEES in 1547 infants, children, and adolescents with a wide range of diagnoses. It was possible to identify protocols related to all age groups in general as well as to particular groups such as breastfed or bottle-fed infants. None of the included studies demonstrated a good methodological quality; all studies had missing data. Uniform implementation for sub-groups could not be determined. The reported outcome of FEES examinations could not be compared. Discussion None of the included studies showed good methodological quality and a significant amount of data were missing; the review still offers a systematic basis for future research to close the serious gap in the area of pediatric FEES. A proposal is made for a minimum requirement for pediatric FEES protocols in scientific studies.

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Endoscopic and observational findings of swallowing of traditional and molded puree in healthy individuals

Wong

Tong

et al. 2023

Dysphagia

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Protocols and assessment procedures in fiberoptic endoscopic evaluation of swallowing: an updated systematic review

Cited by 4 publications

References 46 publications

Fiberoptic endoscopic evaluation of swallowing in patients with amyothrophic lateral sclerosis: an integrative literature review

Fiberoptic endoscopic evaluation of swallowing in patients with amyothrophic lateral sclerosis: an integrative literature review

Implementation of Pediatric Flexible-Endoscopic Evaluation of Swallowing: A Systematic Review and Recommendations for Future Research

Endoscopic and observational findings of swallowing of traditional and molded puree in healthy individuals

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