지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 524 - 534 (11page)
이용수
초록· 키워드
오류제보하기
Objective To investigate the relationship between dysphagia severity and opening of the upper esophageal sphincter (UES), and to assess the effect of balloon size on functional improvement after rehabilitative balloon swallowing treatment in patients with severe dysphagia with cricopharyngeus muscle dysfunction (CPD).Methods We reviewed videofluoroscopic swallowing studies (VFSS) conducted in the Department of Physical Medicine and Rehabilitation, Myongji Hospital from January through December in 2012. All subjects diagnosed with CPD by VFSS further swallowed a 16-Fr Foley catheter filled with barium sulfate suspension for three to five minutes. We measured the maximum diameter of the balloon that a patient could swallow into the esophagus and subsequently conducted a second VFSS. Then, we applied a statistical technique to correlate the balloon diameter with functional improvement after the balloon treatment.Results Among 283 inpatients who received VFSS, 21 subjects were diagnosed with CPD. It was observed that the degree of UES opening evaluated by swallowing a catheter balloon had inverse linear correlations with pharyngeal transit time and post-swallow pharyngeal remnant. Videofluoroscopy guided iterative balloon swallowing treatment for three to five minutes, significantly improved the swallowing ability in terms of pharyngeal transit time and pharyngeal remnant (p<0.005 and p<0.001, respectively). Correlation was seen between balloon size and reduction in pharyngeal remnants after balloon treatment (Pearson correlation coefficient R=-0.729, p<0.001), whereas there was no definite relationship between balloon size and improvement in pharyngeal transit time (R=-0.078, p=0.738).Conclusion The maximum size of the balloon that a patient with CPD can swallow possibly indicates the maximum UES opening. The iterative balloon swallowing treatment is safe without the risk of aspiration, and it can be an effective technique to improve both pharyngeal motility and UES relaxation.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Haapaniemi JJ / 2001 / Botulinum toxin in the treatment of cricopharyngeal dysphagia / Dysphagia 16:171~175
Alfonsi E / 2010 / An electrophysiological approach to the diagnosis of neurogenic dysphagia:implications for botulinum toxin treatment / J Neurol Neurosurg Psychiatry 81:54~60
Falsetti P / 2009 / Oropharyngeal dysphagia after stroke:incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit / J Stroke Cerebrovasc Dis 18:329~335
Terre R / 2006 / Oropharyngeal dysphagia after the acute phase of stroke: predictors of aspiration / Neurogastroenterol Motil 18:200~205
Jones CA / 2014 / Quantifying contributions of the cricopharyngeus to upper esophageal sphincter pressure changes by means of intramuscular electromyography and highresolution manometry / Ann Otol Rhinol Laryngol 123:174~182
Alfonsi E / 2010 / An electrophysiological approach to the diagnosis of neurogenic dysphagia:implications for botulinum toxin treatment / J Neurol Neurosurg Psychiatry 81:54~60
Falsetti P / 2009 / Oropharyngeal dysphagia after stroke:incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit / J Stroke Cerebrovasc Dis 18:329~335
Terre R / 2006 / Oropharyngeal dysphagia after the acute phase of stroke: predictors of aspiration / Neurogastroenterol Motil 18:200~205
Jones CA / 2014 / Quantifying contributions of the cricopharyngeus to upper esophageal sphincter pressure changes by means of intramuscular electromyography and highresolution manometry / Ann Otol Rhinol Laryngol 123:174~182
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