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Diagnosis and Management of Oropharyngeal Dysphagia and Its Nutritional and Respiratory Complications in the Elderly
Joint Authors
Clavé, Pere
García-Peris, Pilar
Almirall, Jordi
Speyer, Renée
Cabré, Mateu
Rofes, Laia
Campins, Lluís
Arreola, Viridiana
Source
Gastroenterology Research and Practice
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-08-03
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Oropharyngeal dysphagia is a major complaint among older people.
Dysphagia may cause two types of complications in these patients: (a) a decrease in the efficacy of deglutition leading to malnutrition and dehydration, (b) a decrease in deglutition safety, leading to tracheobronchial aspiration which results in aspiration pneumonia and can lead to death.
Clinical screening methods should be used to identify older people with oropharyngeal dysphagia and to identify those patients who are at risk of aspiration.
Videofluoroscopy (VFS) is the gold standard to study the oral and pharyngeal mechanisms of dysphagia in older patients.
Up to 30% of older patients with dysphagia present aspiration—half of them without cough, and 45%, oropharyngeal residue; and 55% older patients with dysphagia are at risk of malnutrition.
Treatment with dietetic changes in bolus volume and viscosity, as well as rehabilitation procedures can improve deglutition and prevent nutritional and respiratory complications in older patients.
Diagnosis and management of oropharyngeal dysphagia need a multidisciplinary approach.
American Psychological Association (APA)
Rofes, Laia& Arreola, Viridiana& Almirall, Jordi& Cabré, Mateu& Campins, Lluís& García-Peris, Pilar…[et al.]. 2010. Diagnosis and Management of Oropharyngeal Dysphagia and Its Nutritional and Respiratory Complications in the Elderly. Gastroenterology Research and Practice،Vol. 2011, no. 2011, pp.1-13.
https://search.emarefa.net/detail/BIM-500622
Modern Language Association (MLA)
Rofes, Laia…[et al.]. Diagnosis and Management of Oropharyngeal Dysphagia and Its Nutritional and Respiratory Complications in the Elderly. Gastroenterology Research and Practice No. 2011 (2011), pp.1-13.
https://search.emarefa.net/detail/BIM-500622
American Medical Association (AMA)
Rofes, Laia& Arreola, Viridiana& Almirall, Jordi& Cabré, Mateu& Campins, Lluís& García-Peris, Pilar…[et al.]. Diagnosis and Management of Oropharyngeal Dysphagia and Its Nutritional and Respiratory Complications in the Elderly. Gastroenterology Research and Practice. 2010. Vol. 2011, no. 2011, pp.1-13.
https://search.emarefa.net/detail/BIM-500622
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500622