Fluoroscopic Assessment of Dysphagia: Which Radiological Procedure is Best for Your Patient? Dysphagia is defined as the subjective awareness of swallowing difficulty during passage of a solid or liquid bolus from the mouth to the stomach. This symptom can be caused by functional or structural abnormalities of the oral cavity, pharynx, esophagus, or even the gastric cardia. A barium study may be ... Article
Article  |   December 01, 2007
Fluoroscopic Assessment of Dysphagia: Which Radiological Procedure is Best for Your Patient?
Author Affiliations & Notes
  • Jo Puntil Sheltman
    Dixie Regional Medical Center, St. George UT
Article Information
Swallowing, Dysphagia & Feeding Disorders / Articles
Article   |   December 01, 2007
Fluoroscopic Assessment of Dysphagia: Which Radiological Procedure is Best for Your Patient?
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), December 2007, Vol. 16, 11-14. doi:10.1044/sasd16.4.11
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), December 2007, Vol. 16, 11-14. doi:10.1044/sasd16.4.11
Dysphagia is defined as the subjective awareness of swallowing difficulty during passage of a solid or liquid bolus from the mouth to the stomach. This symptom can be caused by functional or structural abnormalities of the oral cavity, pharynx, esophagus, or even the gastric cardia. A barium study may be performed with videofluoroscopy to assess oral-pharyngeal function and esophageal motility as well as a series of double and single contrast static images to assess structural abnormalities such as rings, strictures and tumors (Levine & Rubesin, 1990). The best procedure for any patient with dysphagia is a tailored examination for the purpose of defining the problem and subsequent treatment regime. Speech-language pathologists (SLPs) need to understand that swallowing is a dynamic process from the lips to the stomach and all phases are interrelated. If visualization is stopped at the upper esoph-ageal sphincter, how does one know if the food or fluid reached the stomach?
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