The Modified Barium Swallow and the Functional Endoscopic Evaluation of Swallowing

Brady, Susan; Donzelli, Joseph

doi:10.1016/j.otc.2013.08.001

Cited by 89 publications

(57 citation statements)

References 23 publications

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“…Currently, pediatric comparative outcome data examining FEES and MBS is limited. While, adult data on this studies have shown promise with comparison to clinical correlation they still remain inconclusive in some cases of dysphagia . It also should be noted that IL was often not curative, and 50.8% of patients' still demonstrated penetration or a form of aspiration on a consistency examined post‐IL.…”

Section: Discussionmentioning

confidence: 90%

Outcomes and predictors of surgical management in type 1 laryngeal cleft swallowing dysfunction

et al. 2016

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Section: Discussionmentioning

confidence: 90%

Outcomes and predictors of surgical management in type 1 laryngeal cleft swallowing dysfunction

et al. 2016

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“…8 Assessment and treatment of abnormal swallowing are particularly challenging in infants, because infants experience natural physiologic and anatomic changes over time. Videofluoroscopic swallow study (VFSS) is the gold-standard radiographic test for evaluating swallowing, 9 and VFSS abnormalities are common among infants clinically thought to have difficulty swallowing. [10][11][12][13] Which infant characteristics predict VFSS abnormalities and whether interventions designed to protect the airway are efficacious remain unclear.…”

mentioning

confidence: 99%

Infant Videofluoroscopic Swallow Study Testing, Swallowing Interventions, and Future Acute Respiratory Illness

Coon¹,

Srivastava

Stoddard

et al. 2016

Hospital Pediatrics

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OBJECTIVES: Tube feedings are commonly prescribed to infants with swallowing abnormalities detected by videofluoroscopic swallow study (VFSS), but there are no studies demonstrating efficacy of these interventions to reduce risk of acute respiratory illness (ARI). We sought to measure the association between swallowing interventions and future ARI, among VFSS-tested infants. METHODS: Retrospective cohort of all infants (<12 months) tested with VFSS at a children’s hospital between January 1, 2010, and January 1, 2012. Hospital ARI encounters (emergency, observation, or inpatient status) in a 22-hospital integrated health care delivery system, between the first VFSS and age 3 years, were measured. VFSS results were grouped by normal, intermediate, and oropharyngeal aspiration (OPA), with OPA further subdivided by silent versus cough and thin versus thick liquid OPA. Cox regression modeled the association between swallowing interventions (thickened or nasal tube feedings) and ARI, accounting for changes in swallowing and interventions over time. RESULTS: 576 infants were tested with a VFSS in their first year of life, receiving a total of 1051 VFSSs in their first 3 years of life. More than 60% of infants received a measured feeding intervention. With the exception of infants with silent OPA who received thickened feedings, neither thickening nor nasal tube feedings, compared with no intervention, were associated with a decreased risk of subsequent ARI. CONCLUSIONS: Swallowing interventions and repeated testing are common among VFSS-tested infants. However, the importance of diagnosing and intervening on VFSS-detected swallowing abnormalities for the majority of tested infants remains unclear.

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“…31 Ultrasonography, endoscopy, magnetic resonance imaging, computed tomography, or positron emission tomography-computed tomography can be used as an alternative diagnostic technique. 32-37 Second, in cases where contrast evaluation is necessary, some other lung-friendly contrast agents like iopydol, hytrast, and iodixanol can be considered.…”

Section: Discussionmentioning

confidence: 99%

An Esophagogram or Tracheobronchogram? A Review of Barium Sulfate Aspiration

Hamid

Ullah

Rashid

et al. 2018

Journal of Investigative Medicine High Impact Case Reports

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The barium swallow is an important radiological investigation used for the diagnosis of upper gastrointestinal anatomical disorders like esophageal cancer, diverticulum, achalasia, foreign body, among others. Generally, it is believed to be a safe technique with rare complications, but few cases of barium sulfate aspiration have been reported in the literature with multiple complications. We are reporting a case of an elderly male who underwent esophagogram for the workup of chronic dysphagia, aspirated barium sulfate, and went into respiratory failure and circulatory shock several hours later. Moreover, we also did a systematic literature search and reviewed all available articles on aspiration of barium sulfate and its potential complications. We focused on predisposing factors for aspiration, clinical presentation, complications after aspiration, and prognosis with the aim to better understand and manage this condition.

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The Modified Barium Swallow and the Functional Endoscopic Evaluation of Swallowing

Cited by 89 publications

References 23 publications

Outcomes and predictors of surgical management in type 1 laryngeal cleft swallowing dysfunction

Outcomes and predictors of surgical management in type 1 laryngeal cleft swallowing dysfunction

Infant Videofluoroscopic Swallow Study Testing, Swallowing Interventions, and Future Acute Respiratory Illness

An Esophagogram or Tracheobronchogram? A Review of Barium Sulfate Aspiration

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