Disfagia em pacientes com doença de Chagas e divertículo de Zenker

Nascimento, Weslania Vivliane do; Cassiani, Rachel de Aguiar; Dantas, Roberto Oliveira

doi:10.1590/s1516-80342010000200021

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…The 20 patients with nervous system disease who presented with oropharyngeal dysphagia corroborated the results of studies in patients with compromised neurological function showing a prevalence rate of 50% for this type of dysphagia with the occurrence of episodes of stroke (CVA) (8,9) . Regarding the prevalence of esophageal dysphagia and its relationship with digestive tract diseases, the literature shows that this type of alteration is common in several diseases such as chagasic megaesophagus and Zenker diverticulum (24) . The high prevalence of dysphagia identified in this sample and in other studies emphasizes the importance of the participation of speech-language therapy professionals in structuring a care network for patients with dysphagia.…”

Section: Discussionmentioning

confidence: 99%

Perfil do paciente atendido pela fonoaudiologia na unidade de urgência e emergência de um hospital universitário

Faria

Pessoa

Araújo

et al. 2013

Audiol., Commun. Res.

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Purpose: This paper sought to evaluate patients receiving assistance from resident speech-language therapists at a school hospital emergency room. Methods: Both adult and elderly patients were included in this study. In total, 150 individuals of both genders, including adults between the ages of 20-59 years and elderly individuals over 60 years of age, who were hospitalized from March 2010 to March 2012 were studied. Results:The patients were predominantly male and elderly, with incomplete elementary school education and a low income, and originated from the capital city and metropolitan region. The medical diagnoses predominantly revealed circulatory diseases, digestive disorders, and nervous system disorders. The speech-language therapy diagnoses showed normal swallowing function, neurogenic oropharyngeal dysphagia, and esophageal dysphagia. Conclusion: The prevalence of age-related systemic disorders may lead to swallowing disorders, which could trigger complications such as longer hospital stays. Therefore, the presence of a speech-language therapist in an emergency room is important to assess, diagnose, and treat swallowing disorders.

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Section: Discussionmentioning

confidence: 99%

Perfil do paciente atendido pela fonoaudiologia na unidade de urgência e emergência de um hospital universitário

Faria

Pessoa

Araújo

et al. 2013

Audiol., Commun. Res.

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“…And, y = h (x) = y 3 -y 5 . In (9), deriving the output, the degree of the system obtained is r = 2.…”

Section: A) Parameters Of the Healthy Esophagus Systemmentioning

confidence: 99%

“…As a result of the intrinsic denervation, there is a motor incoordination, a retention of the food bolus transport, a muscular hypertrophy and, finally, an esophageal dilatation, leading to the formation of the chagasic megaesophagus [2][3][4] . The main symptoms are related to oropharyngeal swallowing, dysphagia, food regurgitation, heartburn and chest pain, and some may present with weight loss, halitosis and breathing difficulty [5][6][7] . Studies on the gastrointestinal aspects of Chagas disease are important for allowing the development of a natural model to comprehend the consequences of the destruction of the enteric nervous system in humans 8 .…”

Section: Introductionmentioning

confidence: 99%

Análise do deslocamento do bolo alimentar: comparação entre o esôfago saudável e modelo de megaesôfago chagásico

et al. 2017

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Objective: to study the dynamics of the human esophagus behavior when affected by Chagas disease. Methods: a mass-spring-damper model was proposed to model the food through the esophagus during peristaltic action. After that, parameters were recalculated to simulate a chagasic megaesophagus. Results: the velocity and displacement curves from both models were analyzed and the dynamic differences between the healthy organ and the ill one, identified. According to the results obtained, the food displacement in a chagasic megaesophagus type II (3 centimeters dilated) is just 11.84% of the displacement in a healthy esophagus. Conclusion: Chagas disease generates a velocity close to zero and a high dampering in the downwards curve of the bolus whose displacement cannot return to its initial state, due to aperistalses, which proves the food bolus retention. With the introduction of the proposed organic control system, an approximation of the curves that remained with dynamic behavior close to the model of the healthy organ was obtained, minimizing the retention of the food. Keywords: Esophageal Achalasia; Chagas Disease; Esophagus RESUMO Objetivo: estudar a dinâmica do comportamento do esôfago humano quando afetado por doença de Chagas e propor um controlador orgânico para auxiliar no aperistaltismo do órgão. Métodos: um modelo de massa, mola e amortecedor foi proposto para modelar o deslocamento do bolo alimentar no esôfago durante a ação peristáltica. Foram utilizados parâmetros da literatura para simular o megaesôfago chagásico e o saudável. Resultados: foram analisadas as curvas de velocidade e deslocamento de ambos os modelos e identificou-se as diferenças dinâmicas entre o órgão saudável e um doente. O deslocamento de alimentos em um tipo de Chagas megaesófago II (3 centímetros de dilatação) é apenas 11,84% do deslocamento num esófago saudável. Conclusão: a doença de chagas gera uma velocidade próxima de zero e um alto amortecimento na curva de descida do alimento que devido ao peristaltismo o deslocamento que não pode retornar ao seu estado inicial, o que comprova a retenção do bolo alimentar. Com o sistema de controle orgânico proposto obteve-se uma aproximação das curvas a um comportamento dinâmico próximo do modelo do órgão saudável, minimizando a retenção do alimento.

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“…In this phase, many patients refer to the dysphagia as a sensation of food stuck in the retrosternal region, and also as food stuck in the region of pharyngeal recess. 4 Although esophageal dysphagia is the most investigated alteration in Chagas disease, there are alterations found in the dynamics of oropharyngeal deglutition of Chagas patients that seem to be a result of a compensation mechanism to the alterations in esophageal motility observed in the disease.…”

Section: 2mentioning

confidence: 99%

Oropharingeal dysphagia in patients with chronic Chagas disease: phonoaudiological, videofluoroscopic, and manometric evaluations

Cabral¹,

Júnior²,

Marques³

et al. 2015

Acta Fisiátrica

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Objective: To determine the frequency of episodes of laryngeal penetration and aspiration in chronic Chagas patients and to evaluate the interpreted relationship not only with the patterns displayed in videofluoroscopy and manometry, but also with clinical screening and structural and functional phonoaudiological evaluation. Method: Clinical and phonoaudiological (structural and functional) evaluation, fluoroscopy, and computed manometry were performed on all patients. Results: Twenty-two patients were included in the study, fifteen females and seven males. Age ranged between 37 and 70 years, mean 55.9 ± 10.2 years. Among the complaints in clinical screening, 18.2% were choking, 13.6% reported throat-clearing, 40.9% heartburn, 22.7% regurgitation, and 36.4% had the sensation of food stuck in the throat. Only 18.2% of patients had adequate dentition. Functional assessment of swallowing detected only 31.8% capable of functional swallowing. In videofluoroscopy, lingering residues were found in the pharynx in 18.2% of cases, followed by multiple swallows 95.4% and 100% posterior escape. There were 4 cases of grade 2 laryngeal penetration (dysphagia) and, in 82% of cases, the findings were similar for the non-occurrence of laryngeal penetration in the videofluoroscopy and in the functional assessment of swallowing. The apertures of the upper esophageal sphincter indicated a relationship with the volume of swallowed bolus. In the manometry, 42.1% of changes were found in the body of the esophagus and 5.3% in the pharynx. Conclusion: Laryngeal penetration was prevalent in 18.2% of cases with an important interpretation of the functional relationship between clinical assessment and videofluoroscopic findings regarding the absence of laryngeal penetration, with similar results in 82% of cases.

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Disfagia em pacientes com doença de Chagas e divertículo de Zenker

Cited by 3 publications

References 15 publications

Perfil do paciente atendido pela fonoaudiologia na unidade de urgência e emergência de um hospital universitário

Perfil do paciente atendido pela fonoaudiologia na unidade de urgência e emergência de um hospital universitário

Análise do deslocamento do bolo alimentar: comparação entre o esôfago saudável e modelo de megaesôfago chagásico

Oropharingeal dysphagia in patients with chronic Chagas disease: phonoaudiological, videofluoroscopic, and manometric evaluations

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