Overview of Dysphagia: Difference between revisions

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=== Oropharyngeal Dysphagia ===
=== Oropharyngeal Dysphagia ===
The prevalence of oropharyngeal dysphasia varies as it depends on the screening method and the type of population tested. Symptoms may be often neglected by a patient or a caregiver and not reported to the physician.<ref name=":0" />
<blockquote>Oropharyngeal dysphagia is characterised by inability to initiate the swallow process.<ref>Banerjee S.  Overview of Dysphagia. Plus Course 2024</ref></blockquote>The prevalence of oropharyngeal dysphasia varies as it depends on the screening method and the type of population tested. Symptoms may be often neglected by a patient or a caregiver and not reported to the physician.<ref name=":0" />


==== Demographics ====
Oropharyngeal dysphagia may result from s''tructural alterations or functional disorder of deglutition.'' Structural alterations impair bolus progression and can be caused by the following
 
==== Occurrence ====
Percentage of patients with oropharyngeal dysphasia is high and include:<ref>Rofes L, Arreola V, Almirall J, Cabré M, Campins L, García-Peris P, Speyer R, Clavé P. [https://onlinelibrary.wiley.com/doi/epdf/10.1155/2011/818979 Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly.] Gastroenterology research and practice. 2011;2011(1):818979.</ref>
 
* over 30% of patients with a cerebrovascular accident
* 52%–82% of patients with Parkinson’s disease
* 84% of patients with Alzheimer’s disease
* up to 40% adults aged 65 years and older
* more than 60% of elderly institutionalised patients


=== Oesophageal Dysphagia ===
=== Oesophageal Dysphagia ===

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Introduction[edit | edit source]

Swallowing (deglutition) impairment effects individual's safety and efficacy during drinking or eating. The consequence of deglutition difficulties are malnutrition, dehydration, and increase the risk of aspiration pneumonia. Additionally, dysphagia has a significant impact on social and psychological well-being because eating and drinking are important social and pleasurable activities. Understanding dysphagia helps with its early detection and management and lead to reduction in patient's hospital stay, improvement in rehabilitation outcomes, and decreasing morbidity and mortality.This course discusses dysphagia as a dysfunction of one or more parts of the swallowing apparatus.

Types of Dysphagia[edit | edit source]

Dysphagia is defined as the difficulty or impossibility to swallow liquids, food or medication and can occur during the oropharyngeal or the oesophageal phase of swallowing.[1]

Oropharyngeal Dysphagia[edit | edit source]

Oropharyngeal dysphagia is characterised by inability to initiate the swallow process.[2]

The prevalence of oropharyngeal dysphasia varies as it depends on the screening method and the type of population tested. Symptoms may be often neglected by a patient or a caregiver and not reported to the physician.[1]

Oropharyngeal dysphagia may result from structural alterations or functional disorder of deglutition. Structural alterations impair bolus progression and can be caused by the following

Occurrence[edit | edit source]

Percentage of patients with oropharyngeal dysphasia is high and include:[3]

  • over 30% of patients with a cerebrovascular accident
  • 52%–82% of patients with Parkinson’s disease
  • 84% of patients with Alzheimer’s disease
  • up to 40% adults aged 65 years and older
  • more than 60% of elderly institutionalised patients

Oesophageal Dysphagia[edit | edit source]

Sub Heading 3[edit | edit source]

Resources[edit | edit source]

  • bulleted list
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or

  1. numbered list
  2. x

References[edit | edit source]

  1. 1.0 1.1 Thiyagalingam S, Kulinski AE, Thorsteinsdottir B, Shindelar KL, Takahashi PY. Dysphagia in older adults. InMayo clinic proceedings 2021 Feb 1 (Vol. 96, No. 2, pp. 488-497). Elsevier.
  2. Banerjee S. Overview of Dysphagia. Plus Course 2024
  3. Rofes L, Arreola V, Almirall J, Cabré M, Campins L, García-Peris P, Speyer R, Clavé P. Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly. Gastroenterology research and practice. 2011;2011(1):818979.