Management of swallowing disorders

被引:2
|
作者
Desport, Jean-Claude [1 ,2 ,3 ]
Fayemendy, Philippe [1 ]
Jesus, Pierre [3 ]
Salle, Jean-Yves [4 ]
机构
[1] CHU Limoges, Hop Dupuytren, Unite Nutr, F-87042 Limoges, France
[2] Fac Med Limoges, INSERM, UMR 1094, F-87025 Limoges, France
[3] CHU Limoges, Hop Dupuytren, Ctr Special Obes Severe CSO Limousin, F-87042 Limoges, France
[4] CHU Limoges, Hop Jean Rebeyrol, Serv Med Phys & Readaptat, F-87042 Limoges, France
来源
NUTRITION CLINIQUE ET METABOLISME | 2014年 / 28卷 / 03期
关键词
Swallowing disorders; Nutrition; Assessment; STROKE;
D O I
10.1016/j.nupar.2014.06.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Swallowing disorders are frequent in daily practice. They could involve liquids or solid diets or both, and are mainly caused by neurological or ENT diseases. They impair patients or their relatives' quality of life and increase the risks of aspiration, undernutrition and dehydration. Assessment includes careful interview and physical examination. The DePippo's test is a key examination. Additionally, endoscopy or video fluoroscopy, which remains the gold standard for swallowing assessment, could be needed. Nutritional and respiratory assessments are mandatory. The management of swallowing disorders should be multidisciplinary, involving physicians, speech therapist, dietician, sometimes dentist or surgeon, and needs a strong contribution of the paramedical staff and the patient's relatives. (C) 2014 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:221 / 224
页数:4
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