Postoperative Dysphagia Aortica: Comparison with Other Dysphagia View Full Text


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Article Info

DATE

2021-09-21

AUTHORS

Jong Keun Kim, Sangpil Son, InHyuk Suh, Jin Seok Bae, Jong Youb Lim

ABSTRACT

Dysphagia can be classified as oropharyngeal or esophageal, and functional or structural deficits of the esophagus can cause esophageal dysphagia. Dysphagia aortica (DA) is defined as dysphagia caused by extrinsic compression of the esophagus by the aorta. The aim of this study was to investigate the characteristics of DA by comparing the findings of videofluoroscopic swallowing studies (VFSS) with those of other dysphagia. Sixty-seven patients with postoperative dysphagia aortica (PDA), dysphagia after brainstem infarction (DBI), dysphagia after anterior cervical discectomy and fusion (DACDF), and subjective swallowing difficulty (SSD) without penetration and/or aspiration, who had undergone VFSS incorporating tests using 5 ml of thin and thick liquids, were included. The clinical data were collected retrospectively. The penetration-aspiration scale, functional dysphagia scale (FDS), esophageal transit time (ETT), and aortic lesion parameters (maximal diameter and distance between the lesion and the apex of the aortic arch) were assessed. The patients with PDA had higher FDS scores than the patients with SSD and lower scores than the patients with DBI did on thin liquids, while the FDS scores on thick liquids were lower in the patients with PDA than in those with DBI or DACDF. The patients with PDA had longer ETT than the other three groups. No correlation was found between the aortic lesion parameters and the VFSS findings. Although PDA has some oropharyngeal symptoms, the esophageal phase was affected mainly by PDA. After an operation on the aorta, VFSS should be considered before resuming oral feeding. More... »

PAGES

1-8

References to SciGraph publications

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  • 1993-06. A protocol for the videofluorographic swallowing study in DYSPHAGIA
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  • 2011-11-26. Dysphagia is a Common and Serious Problem for Adults with Mental Illness: A Systematic Review in DYSPHAGIA
  • 2013-05-03. Dysphagia after stroke: an overview in CURRENT PHYSICAL MEDICINE AND REHABILITATION REPORTS
  • 2017-10-11. Lesions Responsible for Delayed Oral Transit Time in Post-stroke Dysphagia in DYSPHAGIA
  • 2016-04-26. Number of Gastrointestinal Symptoms is a Useful Means of Identifying Patients with Cancer for Dysphagia in DYSPHAGIA
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    http://scigraph.springernature.com/pub.10.1007/s00455-021-10370-9

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    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34546446


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