VIDEOFLUOROSCOPIA NA AVALIAÇAO DA DEGLUTIÇAO (EN LA EVALUACION DE LA DEGLUCION)

(especial para SIIC © Derechos reservados)
A videofluoroscopia é o melhor método para avaliar a deglutição (para evaluar la deglución). O objetivo será revisar e descrever o método na sua realização mais moderna e segura. A videofluoroscopia esta se desenvolvendo, e progressivamente estará mais disponível para uso em todos lugares onde disfagia e deglutição representam um problema.
Autor:
Roberto Oliveira dantas
Columnista Experto de SIIC

Institución:
Universidade de São Paulo


Artículos publicados por Roberto Oliveira dantas
Recepción del artículo
7 de Enero, 2022
Aprobación
15 de Enero, 2022
Primera edición
28 de Enero, 2022
Segunda edición, ampliada y corregida
4 de Diciembre, 2023

Resumen
O exame videofluoroscópico (VFS) é considerado o melhor recurso para avaliação dos distúrbios da deglutição em suas (el mejor recurso para la evaluación de los problemas de deglución en sus) fases oral, faríngea e esofágica. A sua introdução permitiu o melhor conhecimento da fisiologia das diferentes fases da deglutição e das alterações provocadas por doenças que as comprometem (y de las alteraciones producidas por enfermedades que las comprometen). A realização do exame requer treinamento, experiência e equipamento adequado (La realización de este examen requiere entrenamiento, experiencia y el equipo adecuado). As principais vantagens da videofluoroscopia são: resultados passíveis de análise posterior e repetidas, mensuração da coordenação e duração dos eventos da deglutição e a possibilidade de avaliação em diversas posições e com bolos de diferentes volumes, consistências e temperatura (resultados sujetos a análisis posteriores y repeticiones, medición de la coordinación y duración de los eventos de deglución y la posibilidad de evaluación en diferentes posiciones y con bolos de diferentes volúmenes, consistencias y temperaturas). Dentre as desvantagens estão: exposição à radiação, utilização do contraste de bário, que modifica as características dos alimentos e, quando aspirado, pode causar inflamação pulmonar (Entre las desventajas están: la exposición a radicación, la utilización del contraste con bario -que modifica las características de los alimentos y que si se aspira puede causar inflamación pulmonar-) na dependência da concentração e volume, e a possibilidade de subjetividade na análise. O avanço da tecnologia tem diminuído progressivamente estas desvantagens. É um exame essencial em uma clínica que investiga, diagnostica e trata pacientes com disfagia, caracterizando o comprometimento das fases da deglutição.


Artículo completo

(castellano)
Extensión:  +/-7.07 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes

Abstract
Videofluoroscopy (VFS) is considered the best resource to evaluate swallowing disorders in their oral, pharyngeal and esophageal phases. Its introduction allowed a better understanding of the physiology of the different phases of swallowing and the changes caused by the diseases that compromise them. Take the test requires proper training, experience, and equipment. The main advantages of videofluoroscopy are: the results that can be analyzed later and repeated, the measurement of the coordination and duration of swallowing events, and the possibility of evaluation in different positions and with boluses of different volumes, consistencies and temperatures. Among the disadvantages are: exposure to radiation, the use of barium contrast (which modifies the characteristics of food and, when aspirated, can cause lung inflammation depending on the concentration and volume, and the possibility of subjectivity in the analysis ). The advancement of technology has progressively diminished these disadvantages. It is an essential examination in clinical practice that investigates, diagnoses and treats patients with dysphagia, which can cause deterioration of the phases of swallowing.


Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Fonoaudiología, Gastroenterología
Relacionadas: Geriatría, Neurología, Nutrición, Otorrinolaringología



Comprar este artículo
Extensión: 7.07 páginas impresas en papel A4

file05.gif (1491 bytes) Artículos seleccionados para su compra



Enviar correspondencia a:
Roberto Oliveira Dantas, Universidade de São Paulo, Ribeirão Preto, Brasil
Bibliografía del artículo
1. Peladeau-Pigeon M, Steele CM. Technical aspects of a videofluoroscopic swallowing study. Can J Speech Lang Pathol Audiol 37(3):216-226, 2013.
2. Ekberg O, Stading M, Johansson D, Bülow M, Ekman S, Wendin K. Flow properties of oral contrast medium formulations depend on the temperature. Acta Radiol 51:363-367, 2010.
3. Ueha R, Nativ-Zeltzer N, Sato T, Goto T, Yamauchi A, Belafski PC, et al. The effects of barium concentration levels on the pulmonary inflammatory response in a rat model of aspiration. Eur Arch Otorhinolaryngol 277:189-196, 2020.
4. Bhattacharyya N, Kotz T, Shapiro J. The effect of bolus consistency on dysphagia in unilateral vocal cord paralysis. Otolaryngol Head Neck Surg 129:632-636, 2003.
5. Lazarus C, Logemann JA. Swallowing disorders in closed head trauma patients. Arch Phis Med Rehabil 68:79-84, 1987.
6. Pauloski BR, Rademaker AW, Lazarus C, Boeckxstaens G, Kahrilas PJ, Logemann JA. Relationship between manometric and videofluoroscopic measures of swallow function in healthy adults and patients treated for head and neck cancer with various modalities. Dysphagia 24:196-203, 2009.
7. Nguyen NP, Frank C, Moltz CC, Karlsson U, Nguyen PD, Ward HW, et al. Analysis of factors influencing dysphagia severity following treatment of head and neck cancer. Anticancer Res 29:3299-3304, 2009.
8. Samanci C, Onal Y, Koman U. Vidofluoroscopy and manometric evaluation of oral, pharyngeal and esophageal motility disorders. Curr Med Imaging Rev 16(1):65-69, 2020
9. Kellen PM, Becker DL, Reinhardt JM, Van Daele DJ. Computer-assisted assessment of hyoid bone motion from videofluoroscopic swallow studies. Dysphagia 25:298-306, 2010.
10. Steele CM, Peladeau-Pigeon, Barbon CAE, Guida BT, Namasivayam-MacDonald AM, Nascimento WV, et al. Reference values for healthy swallowing across the range from thin to extremely thick liquids. J Speech Lang Hear Res 62:1338-1363, 2019.
11. Rugiu MG. Role of videofluoroscopy in evaluation of neurologic dysphagia. Acta Otorhinolaryngol Ital 27:306-316, 2007.
12. Hernandez AM, Bianchini EMG. Swallowing analyses of neonates and infants in breastfeeding and bottle-feedings: impact on videofluoroscopy swallow studies. Int Arch Otorhinolaryngol 23:e343-e353, 2019.
13. Jaffer NM, Edmund NG, Au FWF, Steele CM. Fluoroscopic evaluation of oro-pharyngeal dysphagia: anatomy, technique, and common etiologies. Am J Roentgenol 204(1):49-58, 2015.
14. Molfenter SM, Steele CM. Temporal variability in the deglutition literature. Dysphagia 27(2):162-177, 2012.
15. Chi-Fishman G. Quantitative lingual, pharyngeal and laryngeal ultrasonography in swallowing research: a technical review. Clin Linguist Phon 19:589-604, 2005.
16. Langmore SE. Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Curr Opin Otolaryngol Head Neck Surg 11:485-489, 2003.
17. Cagliari CF, Jurkiewicz AL, Santos RS, Marques JM. Doppler sonar analysis of swallowing sounds in normal pediatric individuals. Braz J Otorhinolaryngol 75:706-715, 2009.
18. Malandraki GA, Johnson S, Robbins J. Functional MRI of swallowing: from neurophysiology to neuroplasticity. Head Neck 33:14-20, 2011.
19. Omari TI, Ferris L, Dejaeger E, Tack J, Vanbeckevoort D, Rommel N. Upper esophageal sphincter impedance as a marker of sphincter opening diameter. Am J Physiol 302: G909-G913, 2012.
20. Martino R, Silver F, Teasell R, Bayley M, Nicholson G, Streiner DL, et al. The Toronto Bedside Swallowing Screening Test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke 40:555-561, 2009.
21. Alnassar M, Oudjhane K, Davila J. Nasogastric tubes and videofluoroscopic swallowing studies in children. Pediatr Radiol 41:317-321, 2011.
22. Martin-Harris B, Steele CM, Peterson J. Stand up for standardization: collaborative clarification for clinicians performing Modified Barium Swallowing Studies (MBSS). https://dysphagiacafe.com 2020
23. Marrara JL, Duca AP, Dantas RO, Trawitzki LV, Lima RA, Pereira JC. Swallowing in children with neurologic disorders: clinical and videofluoroscopic evaluations. Pro Fono 20:231-236, 2008.
24. Gates J, Hartnell GG, Gramigna GD. Videofluoroscopy and swallowing studies for neurologic disease: a primer. Radiographics 26:e22, 2006.
25. Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia 11:93-98, 1996.
26. Bingjie L, Tong Z, Xinting S, Jianmin X, Guijun J. Quantitative videofluoroscopic analysis of penetration-aspiration in post-stroke patients. Neurol India 58:42-47, 2010.
27. Logemann JA. Swallowing disorders. Best Pract Res Clin Gastroenterol 21:563-573, 2007.
28. Noordally SO, Sohawon S, De Gieter M, Bellout H, Verougstraete G. A study to determine the correlation between clinical, fiber-optic endoscopic evaluation of swallowing and videofluoroscopic evaluation of swallowing after prolonged intubation. Nutr Clin Pract. 26: 457-462, 2011.
29. Nguyen NP, Frank C, Moltz CC, Millar C, Vos P, Smith HJ, et al. Risk of aspiration following radiation for non-nasopharyngeal head and neck cancer. J Otolaryngol Head Neck Surg 37:225-229, 2008.
30. Weir KA, McMahon S, Taylor S, Chang AB. Oropharyngeal aspiration and silent aspiration in children. Chest 140:589-597, 2011.
31. Higo R, Nito T, Tayama N. Videofluoroscopic assessment of swallowing function in patients with myasthenia gravis. J Neurol Sci. 231:45-48, 2005.
32. Kagaya H, Okada S, Saitoh E, Baba M, Yokoyama M, Takahashi H. Simple swallowing provocation test has limited applicability as a screening tool for detecting aspiration, silent aspiration, or penetration. Dysphagia. 25:6-10, 2010.
33. Logemann JA, Rademaker A, Pauloski BR, Antinoja J, Bacon M, Bernstein M, et al. What information do clinicians use in recommending oral versus nonoral feeding in oropharyngeal dysphagic patients? Dysphagia 23:378-384, 2008.
34. American Speech-Language-Hearing Association. Clinical indicators for instrumental assessment of dysphagia (guidelines). ASHA Supplement 20:18-19, 2000.
35. Cappabianca S, Reginelli A, Monaco L, Del Vecchio L, Di Martino N, Grassi R. Combined videofluoroscopy and manometry in the diagnosis of oropharyngeal dysphagia: examination technique and preliminary experience. Radiol Med 113:923-940, 2008.
36. Nativ-Zeltzer N, Kahrilas PJ, Logemann JA. Manofluorography in the evaluation of oropharyngeal dysphagia. Dysphagia 27:151-161, 2012.
37. Logemann JA, Larsen K. Oropharyngeal dysphagia: pathophysiology and diagnosis for the anniversary issue of Diseases of the Esophagus. Dis Esophagus 25:299-304, 2012.
38. Terré R, Mearin F. Effectiveness of chin-down posture to prevent tracheal aspiration in dysphagia secondary to acquired brain injury. A videofluoroscopy study. Neurogastroenterol Motil 24: 414-419, 2012.
39. Bonilha HS, Humphries K, Blair J, Hill EG, McGrattan K, Carnes B, et al. Radiation exposure time during MBSS: Influence of swallowing impairment severity, medical diagnosis, clinician experience, and standardized protocol use. Dysphagia 13:215-220, 2012.
40. American Speech-Language-Hearing Association. Guidelines for Speech-language pathologists performing videofluoroscopic swallowing studies. ASHA Suppl 24:77-92, 2004.
41. Lof GL, Robbins J. Test-retest variability in normal swallowing. Dysphagia 4:236-242, 1990.
42. American Speech-Language-Hearing Association (ASHA). Clinical indicators for instrumentation assessment of dysphagia. In: Swallowing and swallowing disorders, Rockville, MD: Special Interest Division on Dysphagia, 1998.
43. Zerilli KS, Stefans VA, DiPietro MA. Protocol for the use of videofluoroscopy in pediatric swallowing dysfunction. Am J Occup Ther 44:441-446, 1990.
44. Cichero JAY, Lam P, Steele CM, Hanson B, Chen J, Dantas RO, et al. Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: the IDDSI framework. Dysphagia 32: 293-314, 2017.
45. Duca AP, Dantas RO, Rodrigues AA, Sawamura R. Evaluation of swallowing in children with vomiting after feeding. Dysphagia 23:177-182, 2008.
46. Wilcox F, Liss JM, Siegel GM. Interjudge agreement in videofluoroscopic studies of swallowing. J Speech Hear Res 39:144-152, 1996.
47. Furkim AM, Behlau MS, Weckx LL. Clinical and videofluoroscopic evaluation of deglutition in children with tetraparetic spastic cerebral palsy. Arq Neuropsiquiatr 61:611-616, 2003.
48. O'Neil KH, Purdy M, Falk J, Gallo L. The dysphagia outcome and severity scale. Dysphagia 14:139-145, 1999.
49. Robbins J, Coyle J, Roecker E, Rosenbek J, Wood J. Differentiation of normal and abnormal airway protection during swallowing using the penetration-aspiration scale. Dysphagia 14:228-232, 1999.
50. Hind JA, Gensler G, Brandt DK, Gardner PJ, Blumenthal L, Gramigna GD, et al. Comparison of trained clinician ratings with expert ratings of aspiration on videofluoroscopic images from a randomized clinical trial. Dysphagia 24:211-217, 2009.
51. Baijens LW, Speyer R, Passos VL, Pilz W, Roodenburg N, Clave P. Swallowing in Parkinson patients versus healthy controls: Reliability of measurements in videofluoroscopy. Gastroenterol Res Pract e380, 2011.
52. Dantas RO, Kern MK, Massey BT, Dodds WJ, Kahrilas PJ, Brasseur JG, et al. Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol 258: G675-G681, 1990.
53. Santos CM, Cassiani RA, Dantas RO. Videofluoroscopic evaluation of swallowing in Chagas' disease. Dysphagia 26:361-365, 2011.
54. Lee SH, Oh BM, Chun SM, Lee JC, Min Y, Bang SH, et al. The accuracy of swallowing kinematic analysis at various movement velocities of the hyoid and epiglottis. Ann Rahabil Med. 17:320-327, 2013.
55. Baijens L, Karikroo A, Pilz W. Intrarater and interrater reliability for measurements in videofluoroscopy of swallowing. Eur J Radiol 82:1683-1695, 2013.
56. Nagy A, Leigh C, Hori SF, Molfenter SM, Shariff T, Steele CM. Timing differences between cued and noncued swallows in healthy young adults. Dysphagia 28:428-434, 2013.
57. Hoffman MR, Jones CA, Geng Z, Abelhalim SM, Walczak CC, Mitchell AR, et al. Classification of high-resolution manometry data according to videofluoroscopic parameters using pattern recognition. Head Neck Surg 149:126-133, 2013.
58. Geng Z, Hoffman MR, Jones CA, McCulloch TM, Jiang JJ. Three-dimensional analysis of pharyngeal high-resolution manometry data. Laryngoscope 123:1746-1753, 2013.
59. Garcez-Leme LE, Leme MD. Costs of elderly health care in Brazil: challenges and strategies. Medical Express 1(1):3-8, 2014.
60. Attrill S, White S, Murray J, Hammond S, Doeltgen S. Impact of oropharyngeal dysphagia on health care cost and length of stay in hospital: a systematic review. BMC Health Serv Res 18(1):594, 2018.
61. Patel DA, Krishnaswami S, Steger E, Conover E, Vaezi MF, Ciucci MR, et al. Economic and survival burden of dysphagia among inpatients in the United States. Dis Esophagus 31(1):1-7, 2018.

Título español
Resumen
 Bibliografía
 Artículo completo
(exclusivo a suscriptores)
 Autoevaluación
  Tema principal en SIIC Data Bases
 Especialidades

 English title
 Abstract
  Key words
Full text
(exclusivo a suscriptores)


Autor 
Artículos
Correspondencia
Patrocinio y reconocimiento
Imprimir esta página
 
 
 
 
 
 
 
 
 
 
 
 
Está expresamente prohibida la redistribución y la redifusión de todo o parte de los contenidos de la Sociedad Iberoamericana de Información Científica (SIIC) S.A. sin previo y expreso consentimiento de SIIC.
ua31618
Inicio/Home

Copyright siicsalud © 1997-2024 ISSN siicsalud: 1667-9008