Videofluoroscopic swallow study and fiberoptic endoscopic evaluation of swallow, which is superior?

Lawlor, Claire M.; Choi, Sukgi S.

doi:10.1002/lary.30755

Cited by 1 publication

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given this, our data can be generalized to other institutions like ours that do not have ready access to breastfeeding FEES. For institutions that rely on FEES to assess breastfeeding infants, it may be that this approach can be used to identify modifications that may make breastfeeding safer, but it should be noted that this exam may also be limited by lower sensitivity compared with VFSS 12,14,16 …”

Section: Discussionmentioning

confidence: 99%

“…For institutions that rely on FEES to assess breastfeeding infants, it may be that this approach can be used to identify modifications that may make breastfeeding safer, but it should be noted that this exam may also be limited by lower sensitivity compared with VFSS. 12,14,16 Pediatricians and feeding specialists along with other clinicians play a critical role in counseling families regarding breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

“…Breastfeeding FEES can be used to specifically evaluate breastfeeding safety and studies have found that adjustments in positioning can improve swallow function in breastfeeding infants 12,13 . Unfortunately, this test is not readily available at all institutions, requires specialized expertise and patient cooperation, and has its own limitations related to visualization of aspiration as it is happening 14–16 . Because of these limitations, many providers rely on VFSS to assess swallow function in breastfed infants.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Breastfeeding in infants who aspirate may increase risk of pulmonary inflammation

Duncan,

Golden,

Larson

et al. 2023

Pediatric Pulmonology

View full text Add to dashboard Cite

ObjectiveTo evaluate management strategies and pulmonary outcomes for breastfed infants with oropharyngeal dysphagia.Study DesignWe performed a retrospective cohort study of breastfed infants diagnosed with oropharyngeal dysphagia with documented aspiration or laryngeal penetration on videofluoroscopic swallow study (VFSS). Medical records were reviewed for VFSS results and speech‐language pathologist recommendations following VFSS, results of chest x‐ray, results of bronchoalveolar lavage (BAL) within 1 year of VFSS, and aspiration‐related hospitalizations occurring before or within 1 year of VFSS. Subjects were categorized as cleared or not cleared to breastfeed based on the VFSS. Proportions were compared with Chi‐square and Fisher's exact tests and means with Student's t‐tests.ResultsSeventy‐six infants (4.7 ± 0.4 months old) were included; 50% (38) had aspiration and 50% (38) had laryngeal penetration. After VFSS, 70% (53) were cleared to breastfeed while 30% (23) were not cleared to breastfeed. Patients with aspiration were less likely to be cleared to breastfeed (p = .006); however, 55% (21/38) of those with aspiration were still cleared to breastfeed. Infants cleared to breastfeed had significantly more pulmonary hospitalizations (p = .04) and were also at increased risk of elevated neutrophil count (p = .02) and culture growth on BAL (p = .01). Significantly increased abnormal neutrophil count was also found in those cleared to breastfeed with laryngeal penetration (p = .01).ConclusionsInfants with oropharyngeal dysphagia counseled to continue breastfeeding had increased risk of BAL inflammation and more pulmonary hospitalizations compared to those that were told to stop breastfeeding.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%