Esophageal Clearance Patterns in Normal Older Adults as Documented with Videofluoroscopic Esophagram
Joint Authors
Sadowski, Elizabeth
Robbins, JoAnne
Kays, Stephanie
Radowsky, Jason
Hind, Jacqueline
Gangnon, Ronald E.
Taylor, Andrew
Gaumnitz, Eric
Jou, Janice
Source
Gastroenterology Research and Practice
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-09-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Normal esophageal bolus transport in asymptomatic healthy older adults has not been well defined, potentially leading to ambiguity in differentiating esophageal swallowing patterns of dysphagic and healthy individuals.
This pilot study of 24 young (45–64 years) and old (65+years) men and women was designed to assess radiographic esophageal bolus movement patterns in healthy adults using videofluoroscopic recording.
Healthy, asymptomatic adults underwent videofluoroscopic esophagram to evaluate for the presence of ineffective esophageal clearance, namely, intraesophageal stasis and intraesophageal reflux.
Intraesophageal stasis and intraesophageal reflux were visualized radiographically in these normal subjects.
Intraesophageal stasis occurred significantly more frequently with semisolid (96%) compared with liquid (16%) barium, suggesting that a variety of barium consistencies, as opposed to only the traditional fluids, would better define the spectrum of esophageal transport.
Intraesophageal reflux was observed more frequently in older males than in their younger counterparts.
The rates of intraesophageal stasis and intraesophageal reflux were potentially high given that successive bolus presentations were spaced 10 seconds apart.
These findings suggest a need for a more comprehensive definition regarding the range of normal esophageal bolus transport to (a) prevent misdiagnosis of dysphagia and (b) to enhance generalization to functional eating, which involves solid foods in addition to liquids.
American Psychological Association (APA)
Jou, Janice& Radowsky, Jason& Gangnon, Ronald E.& Sadowski, Elizabeth& Kays, Stephanie& Hind, Jacqueline…[et al.]. 2009. Esophageal Clearance Patterns in Normal Older Adults as Documented with Videofluoroscopic Esophagram. Gastroenterology Research and Practice،Vol. 2009, no. 2009, pp.1-6.
https://search.emarefa.net/detail/BIM-512004
Modern Language Association (MLA)
Jou, Janice…[et al.]. Esophageal Clearance Patterns in Normal Older Adults as Documented with Videofluoroscopic Esophagram. Gastroenterology Research and Practice No. 2009 (2009), pp.1-6.
https://search.emarefa.net/detail/BIM-512004
American Medical Association (AMA)
Jou, Janice& Radowsky, Jason& Gangnon, Ronald E.& Sadowski, Elizabeth& Kays, Stephanie& Hind, Jacqueline…[et al.]. Esophageal Clearance Patterns in Normal Older Adults as Documented with Videofluoroscopic Esophagram. Gastroenterology Research and Practice. 2009. Vol. 2009, no. 2009, pp.1-6.
https://search.emarefa.net/detail/BIM-512004
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512004