Positive findings from the esophagram may result in further evaluation with endoscopy, manometry, impedance, combined impedance and pH testing, depending on the patient symptoms and findings from the esophagram.
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Allen and colleagues described the esophageal screen as the administration of a single 20 ml liquid bolus swallowed and viewed in the anteroposterior view after completion of the oropharyngeal evaluation. The position of the patient was in upright, standing position with instructions that the patient swallow the bolus in one swallow.
Esophageal screen findings were compared to the results of a full esophagram in the patients studied. The authors noted they may have had increased identification of esophagopharyngeal reflux and gastroesophgeal reflux with the esophageal screen. They also note that hiatal hernia and esophageal ring identification are best visualized with esophageal distention use of large volumes of barium. Thus the sensitivity of the esophageal screen had limited identification of structural abnormalities such as hernias and rings because of the use of the 20 ml bolus. The conclusion supports the need to evaluate patients with esophageal disorders with the appropriate procedures and instrumentation.
Blair and Martin-Harris found significant correlation between delayed pharyngeal swallow response time and abnormal esophageal clearance observed on an esophageal screen. The esophageal findings were confirmed by combined esophageal manometry and impedance 8. In conclusion, do we as a profession have a consistent rationale, standardized methodology and predicted outcomes to support the performance of the esophageal screen?
Manual of diagnostic and therapeutic techniques for disorders of deglutition - Semantic Scholar
Perhaps it is time for a multi-disciplinary group of deglutologists to define the purpose, methodology and value of the esophageal screen. Save my name, email, and website in this browser for the next time I comment. Notify me of follow-up comments by email. Notify me of new posts by email. Home About Contact Disclaimer. Dysphagia Cafe. Home Anatomy Esophageal Disorders: What is the role of the speech pathologist?
Introduction Understanding the scope of esophageal disorders and the affect of such disorders on oropharyngeal function as well as having the knowledge and skills to recognize abnormalities in esophageal structure and function require additional training, knowledge and skills beyond the completion of traditional graduate coursework and practicum in swallowing and swallowing disorders. Modifying more than diets: Rethinking a common practice. Viewing the esophagus during a Modified Barium Swallowing Study: Survey of speech language pathology clinical practice patterns.
Manual of Diagnostic and Therapeutic Techniques for Disorders of Deglutition
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Postma Editor. Be the first to write a review. Add to Wishlist. Ships in 15 business days. Link Either by signing into your account or linking your membership details before your order is placed. Description Table of Contents Product Details Click on the cover image above to read some pages of this book! Manual of Diagnostic and Therapeutic Techniques for Disorders of Deglutition provides a one-stop destination for members of all specialties to obtain state-of-the-knowledge information on advanced diagnostic modalities and management.
It is an essential reference for all deglutologists.
A systematic approach to the evaluation and management of various complaints.
Industry Reviews From the reviews: "This is a comprehensive overview of diagnostic and therapeutic interventions for dysphagia. The book is written for healthcare providers who see patients with disorders of deglutition, which would include those in otolaryngology, gastroenterology, speech-language pathology, and rehabilitation medicine. This is an important contribution to the field of dysphagia management, with detailed chapters on diagnostic and therapeutic options for patients. The chapters are well organized and easy to follow. Establishing a comprehensive Center for diagnosis and therapy of swallowing disorders - Bronwyn Jones and William Ravich 2.
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Logemann 4. Murray 6. Laryngopharyngeal Sensory Testing - Jonathan Aviv 7.
Un-sedated Transnasal esophagoscopy: Endoscopic evaluation of esophageal phase of deglutition - Gregory Postma and Kia Saeian 8. Manometric Assessment of the Esophagus - Jeff Conklin Esophageal pH and impedance monitoring - Eytan Bardan Pharyngeal pH and impedance monitoring - Robert T. Kavitt and Michael F. Shaker Exercise - Caryn Easterling