Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention : a review and summary of an international expert meeting
Wirth, Rainer (Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg)
Dziewas, Rainer (University Hospital of Münster (Alemanya))
Beck, Anne Marie (Department of Nutrition and Health, Faculty of Health and Technology, Metropolitan University College)
Clavé i Civit, Pere (Hospital de Mataró. Consorci Sanitari del Maresme)
Hamdy, Shaheen (Centre for Gastrointestinal Sciences, Institute of Inflammation and Repair, University of Manchester, Salford Royal Hospital)
Heppner, Hans Jürgen (Helios Clinic Schwelm)
Langmore, Susan (Department of Speech, Language and Hearing Sciences, Boston University School of Medicine)
Leischker, Andreas Herbert (Department of Geriatrics, Alexianer Hospital Krefeld, Krefeld, Germany)
Martino, Rosemary (University of Toronto)
Pluschinski, Petra (Department of Phoniatrics and Pediatric Audiology, University of Marburg, Marburg, Germany)
Rösler, Alexander (Department of Geriatrics, Marien Hospital Hamburg, Hamburg, Germany)
Shaker, Reza (Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee)
Warnecke, Tobias (University Hospital of Münster (Alemanya))
Sieber, Cornel Christian (Department of General Internal Medicine and Geriatrics, St John of God Hospital Regensburg)
Volkert, Dorothee (Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg)
Universitat Autònoma de Barcelona

Fecha:	2016
Resumen:	Oropharyngeal dysphagia (OD) is a highly prevalent and growing condition in the older population. Although OD may cause very severe complications, it is often not detected, explored, and treated. Older patients are frequently unaware of their swallowing dysfunction which is one of the reasons why the consequences of OD, ie, aspiration, dehydration, and malnutrition, are regularly not attributed to dysphagia. Older patients are particularly vulnerable to dysphagia because multiple age-related changes increase the risk of dysphagia. Physicians in charge of older patients should be aware that malnutrition, dehydration, and pneumonia are frequently caused by (unrecognized) dysphagia. The diagnosis is particularly difficult in the case of silent aspiration. In addition to numerous screening tools, videofluoroscopy was the traditional gold standard of diagnosing OD. Recently, the fiberoptic endoscopic evaluation of swallowing is increasingly utilized because it has several advantages. Besides making a diagnosis, fiberoptic endoscopic evaluation of swallowing is applied to evaluate the effectiveness of therapeutic maneuvers and texture modification of food and liquids. In addition to swallowing training and nutritional interventions, newer rehabilitation approaches of stimulation techniques are showing promise and may significantly impact future treatment strategies.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Aspiration ; Dehydration ; Dysphagia ; Geriatric ; Malnutrition ; Older
Publicado en:	Clinical Interventions in Aging, Vol. 11 (february 2016) , p. 189-208, ISSN 1178-1998

DOI: 10.2147/CIA.S97481
PMID: 26966356

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