Evaluation of Swallowing in Children with Vomiting After Feeding

Duca, Ana Paula; Dantas, Roberto Oliveira; Rodrigues, Andréa Aparecida Contini; Sawamura, Regina

doi:10.1007/s00455-007-9122-3

Cited by 16 publications

(13 citation statements)

References 18 publications

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“…Our results, together with those reported by studies investigating swallowing dynamics in patients without neurologic diseases or anatomic alterations of mouth or pharynx (24,25) , indicate that in cases when only changes in pharyngeal or in esophageal mucosa are seen, there is no important clinical alterations in the oral or pharyngeal phases of swallowing. Although dysphagia may be associated with neurologic impairment and anatomic diseases that can affect these swallowing stages, the symptom may also result from esophageal hypersensitivity and/or hypervigilance, without any alteration in the oral, pharyngeal or esophageal transit (9,26) .…”

Section: Discussionsupporting

confidence: 58%

Swallowing in Patients With Laryngitis

Moda

Ricz

Aguiar-Ricz

et al. 2018

Arq. Gastroenterol.

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-Background -Dysphagia is described as a complaint in 32% of patients with laryngitis. Objective -The objective of this investigation was to evaluate oral and pharyngeal transit of patients with laryngitis, with the hypothesis that alteration in oral-pharyngeal bolus transit may be involved with dysphagia. Methods -Videofluoroscopic evaluation of the swallowing of liquid, paste and solid boluses was performed in 21 patients with laryngitis, 10 of them with dysphagia, and 21 normal volunteers of the same age and sex. Two swallows of 5 mL liquid bolus, two swallows of 5 mL paste bolus and two swallows of a solid bolus were evaluated in a random sequence. The liquid bolus was 100% liquid barium sulfate and the paste bolus was prepared with 50 mL of liquid barium and 4 g of food thickener (starch and maltodextrin). The solid bolus was a soft 2.2 g cookie coated with liquid barium. Durations of oral preparation, oral transit, pharyngeal transit, pharyngeal clearance, upper esophageal sphincter opening, hyoid movement and oral-pharyngeal transit were measured. All patients performed 24-hour distal esophageal pH evaluation previous to videofluoroscopy.Results -The evaluation of 24-hour distal esophageal pH showed abnormal gastroesophageal acid reflux in 10 patients. Patients showed longer oral preparation for paste bolus and a faster oral transit time for solid bolus than normal volunteers. Patients with laryngitis and dysphagia had longer preparation for paste and solid boluses, and a faster oral transit time with liquid, paste and solid boluses. Conclusion -A longer oral preparation for paste and solid boluses and a faster transit through the mouth are associated with dysphagia in patients with laryngitis.

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Section: Discussionsupporting

confidence: 58%

Swallowing in Patients With Laryngitis

Moda

Ricz

Aguiar-Ricz

et al. 2018

Arq. Gastroenterol.

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“…Swallowing is a highly dynamic process that is influenced not only by bolus attributes and anatomic integrity, but also by neurologic, muscular, respiratory, and gastrointestinal function. [23][24][25][26] Altered prenatal circulatory patterns, and post-surgical stresses of in parallel circulation, cyanosis, and ventricular volume load can have deleterious effects on these systems [27][28][29][30][31][32][33][34] and may contribute to the observed swallowing deficits.…”

Section: Discussionmentioning

confidence: 99%

Dysphagia in infants with single ventricle anatomy following stage 1 palliation: Physiologic correlates and response to treatment

McGrattan

McGhee

DeToma

et al. 2017

Congenital Heart Disease

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Background Deficits in swallowing physiology are a leading morbidity for infants with functional single ventricles and systemic outflow tract obstruction following stage 1 palliation. Despite the high prevalence of this condition, the underlying deficits that cause this post-operative impairment remain poorly understood. Objective Identify the physiologic correlates of dysphagia in infants with functional single ventricles and systemic outflow tract obstruction following stage 1 palliative surgery. Methods Postoperative fiberoptic laryngoscopies and videofluoroscopic swallow studies (VFSS) were conducted sequentially on infants with functional single ventricles following stage 1 palliative surgery. Infants were dichotomized as having normal or impaired laryngeal function based on laryngoscopy findings. VFSS were evaluated frame-by-frame using a scale that quantifies performance within 11 components of swallowing physiology. Physiologic attributes within each component were categorized as high functioning or low functioning based on their ability to support milk ingestion without bolus airway entry. Results Thirty-six infants (25 male) were included in the investigation. Twenty-four underwent the Norwood procedure and twelve underwent the Hybrid procedure. Low function physiologic patterns were observed within multiple swallowing components during the ingestion of thin barium as characterized by ≥ 4 sucks per swallow (36%), initiation of pharyngeal swallow below the level of the valleculae (83%), and incomplete late laryngeal vestibular closure (56%) at the height of the swallow. Swallowing deficits contributed to aspiration in 50% of infants. Although nectar thick liquids reduced the rate of aspiration (p=0.006), aspiration rates remained high (27%). No differences in rates of penetration or aspiration were observed between infants with normal and impaired laryngeal function. Conclusions Deficits in swallowing physiology contribute to penetration and aspiration following stage 1 palliation among infants with normal and impaired laryngeal function. Although thickened liquids may improve airway protection for select infants, they may inhibit their ability to extract the bolus and meet nutritional needs.

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“…Vomit after feeding is one of the manifestations of GER (30) . In the present study, there was higher incidence of vomit among FTNB.…”

Section: Discussionmentioning

confidence: 99%

Achados fluoroscópicos da deglutição: comparação entre recém-nascidos pré-termo e recém-nascidos de termo

Silva-Munhoz

Bühler

2011

J. Soc. Bras. Fonoaudiol.

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OBJETIVO: Descrever os achados fluoroscópicos da deglutição de recém-nascidos pré-termo de zero a seis meses de idade, assim como as doenças e os sinais e sintomas clínicos relacionados à alteração na deglutição, e compará-los com os respectivos dados obtidos de recém-nascidos de termo. MÉTODOS: Foram analisados, retrospectivamente, os dados das avaliações fluoroscópicas realizadas no período de um ano em lactentes de zero a seis meses de idade e aos respectivos prontuários. Participaram 40 sujeitos, divididos em dois grupos: Grupo Pré-Termo, constituído de 23 recém-nascidos pré-termo; e Grupo de Termo, constituído por 17 recém-nascidos de termo. RESULTADOS: Os principais achados fluoroscópicos da deglutição observados em ambos os grupos foram refluxo para a nasofaringe e refluxo gastresofágico. Não houve diferença entre os grupos para a presença de alteração na deglutição . O Grupo Pré-Termo apresentou mais problemas cardíacos do que o Grupo de Termo. Não houve diferença entre os grupos para problemas neurológicos e respiratórios. Em relação aos sinais e sintomas clínicos sugestivos de alteração na deglutição, o Grupo Pré-Termo apresentou mais dessaturação de oxigênio e o Grupo de Termo mais vômitos. CONCLUSÃO: Os principais achados fluoroscópicos da deglutição encontrados em recém-nascidos pré-termo de zero a seis meses de idade foram refluxo para a nasofaringe e refluxo gastresofágico. Novos estudos de seguimento desta população devem ser realizados para confirmar a hipótese de que as alterações na deglutição observadas ocorreram devido à imaturidade na função de deglutição.

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Evaluation of Swallowing in Children with Vomiting After Feeding

Cited by 16 publications

References 18 publications

Swallowing in Patients With Laryngitis

Swallowing in Patients With Laryngitis

Dysphagia in infants with single ventricle anatomy following stage 1 palliation: Physiologic correlates and response to treatment

Achados fluoroscópicos da deglutição: comparação entre recém-nascidos pré-termo e recém-nascidos de termo

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