- Esophageal A-ring is associated with the severity of gastroesophageal reflux. [Journal Article]
- LLaryngoscope 2019 Jun 14
- CONCLUSIONS: There is a significant association between the presence of esophageal A-rings on esophagography and the severity of acid reflux on endoscopy and ambulatory pH testing. The data suggest that the presence of an esophageal A-ring may be either a compensatory mechanism to protect against gastroesophageal reflux and/or an inflammatory consequence of peptic esophagitis.
- [Application of lean management in cost control of cerebral infarction single disease in stroke center]. [Journal Article]
- ZWZhonghua Wei Zhong Bing Ji Jiu Yi Xue 2019; 31(5):637-640
- CONCLUSIONS: Lean thinking can realize the standardization of stroke center process, effectively utilize medical resources, improve medical quality and reduce the cost of cerebral infarction single disease.
- The safety and efficacy of using large woven stents to treat vertebrobasilar dolichoectasia. [Journal Article]
- JNJ Neurointerv Surg 2019 Jun 13
- CONCLUSIONS: Deployment of woven stents with or without supportive coiling may offer symptom relief and reconstruction in patients with VBD.
- StatPearls: Esophageal Stricture [BOOK]
- BOOKStatPearls Publishing: Treasure Island (FL)
- An esophageal stricture refers to the abnormal narrowing of the esophageal lumen; it often presents as dysphagia commonly described by patients as difficulty swallowing. It is a serious sequela to ma…
An esophageal stricture refers to the abnormal narrowing of the esophageal lumen; it often presents as dysphagia commonly described by patients as difficulty swallowing. It is a serious sequela to many different disease processes and underlying etiologies. Its recognition and management should be prompt. Stricture formation can be due to inflammation, fibrosis or neoplasia involving the esophagus and often posing damage to the mucosa and/or submucosa. The esophagus loses distensibility with stricture formation, and this may be localized or diffuse throughout the length of the esophagus. The luminal stricture itself may have abrupt or tapered margins. Recent advancement in the use of endoscopic procedures for diagnostic as well as therapeutic purposes has increased the occurrence of iatrogenic post-procedural esophageal stricture formation resulting from mucosal injury. Generally, the term esophageal stricture is reserved for intraluminal esophageal disorders resulting in narrowing, although extrinsic esophageal compression and luminal compromise can sometimes occur, by direct invasion of malignancy or lymph node enlargement for example, and therefore result in esophageal stricture as well. Regardless of etiology, stricture disease is best managed promptly and aggressively to restore luminal patency; this is done for symptomatic improvement and/or palliative management in cases of cancer. New technological advancements in endoscopic therapy and different stent products have shown promising results with notable improvement in stricture management with low recurrence rates and fewer complications.
- Early Assessment and Management of Dysphagia after Lung Resection: A Randomized Controlled Trial. [Journal Article]
- ATAnn Thorac Surg 2019 Jun 10
- CONCLUSIONS: Early detection of postoperative dysphagia can significantly decrease the risk of postoperative pneumonia in patients undergoing lung resection.
- Perception Versus Performance of Swallow Function in Residents of Long-Term Care. [Journal Article]
- AJAm J Speech Lang Pathol 2019 Jun 13; :1-8
- Purpose The purpose of this study was to determine if older adults residing in long-term care were able to accurately self-report their swallowing status by comparing subjective complaints of dysphag…
Purpose The purpose of this study was to determine if older adults residing in long-term care were able to accurately self-report their swallowing status by comparing subjective complaints of dysphagia and objective methods of swallowing screening. Method Data were collected from 397 residents of long-term care (M age = 86.8 years ± 7.8; 263 female). Cognitive impairment scores were collected, and each resident was asked (a) if they thought they had a swallowing problem, (b) if they coughed/choked when they ate, and (c) if they coughed/choked when they drank. These responses were compared to results of a swallowing screening tool and mealtime observations of coughing and choking. Results Residents who reported swallowing difficulties (10%, n = 41) were 8 times more likely to fail the swallowing screening (p < .001); however, 80% of residents who failed the swallowing screening did not previously report that swallowing was an issue. There was no significant association between self-reports of coughing and choking at meals and observations. There was no difference in level of cognition between residents who accurately reported swallowing status and those who were inaccurate. Conclusions Residents are largely unable to accurately self-report swallowing difficulties and also have difficulty accurately reporting incidences of coughing and choking. These findings suggest that concerted efforts are required to implement regular, formal swallowing screening protocols in long-term care to objectively identify those at risk.
- Swallowing disorders after treatment for head and neck cancer. [Journal Article]
- RORadiol Oncol 2019 Jun 01; 53(2):225-230
- Background Dysphagia is a common consequence of treatment for head and neck cancer (HNC). The purpose of the study was to evaluate the prevalence of dysphagia in a group of patients treated for HNC i…
Background Dysphagia is a common consequence of treatment for head and neck cancer (HNC). The purpose of the study was to evaluate the prevalence of dysphagia in a group of patients treated for HNC in Slovenia, and to identify factors contributing to the development of dysphagia. Patients and methods One-hundred-nine consecutive patients treated for HNC at two tertiary centers were recruited during their follow-up visits. They fulfilled EORTC QLQ-H&N35 and "Swallowing Disorders after Head and Neck Cancer Treatment questionnaire" questionnaires. Patients with dysphagia were compared to those without it. Results Problems with swallowing were identified in 41.3% of the patients. Dysphagia affected their social life (in 75.6%), especially eating in public (in 80%). Dysphagia was found the most often in the patients with oral cavity and/or oropharyngeal cancer (in 57.6%) and in those treated less than 2 years ago (p = 0.014). In univariate analysis, a significant relationship was observed between dysphagia prevalence and some of the consequences of anti-cancer treatment (impaired mouth opening, sticky saliva, loss of smell, impaired taste, oral and throat pain, persistent cough, and hoarseness), radiotherapy (p = 0.003), and symptoms of gastroesophageal reflux (p = 0.027). After multiple regression modelling only persistent cough remained. Conclusions In order to improve swallowing abilities and, consequently, quality of life of the patients with HNC a systematic rehabilitation of swallowing should be organized. A special emphasis should be given to gastroesophageal reflux treatment before, during and after therapy for HNC.
- Educational Case: Barrett Esophagus. [Journal Article]
- APAcad Pathol 2019 Jan-Dec; 6:2374289519848089
- The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into …
The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three competencies, see http://journals.sagepub.com/doi/10.1177/2374289517715040.
- Improvements in oral functions of elderly after simple oral exercise. [Journal Article]
- CIClin Interv Aging 2019; 14:915-924
- CONCLUSIONS: The SOE was effective in immediately improving oral functions, and improvement was maintained for 1 week.
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- [Project for Self-Help Tableware Involving Local Traditional Arts and Crafts of Japan]. [Journal Article]
- GTGan To Kagaku Ryoho 2019; 46(Suppl 1):36-38
- To improve the quality ofmeals in communities, "Keiji study group on dysphagia" was founded in 2010. With the "Project for Self-Help Tableware involving Traditional Arts and Crafts," we will introduc…
To improve the quality ofmeals in communities, "Keiji study group on dysphagia" was founded in 2010. With the "Project for Self-Help Tableware involving Traditional Arts and Crafts," we will introduce an innovative community collaboration of cultural specialists,. The existing self-help tableware are not suitable for traditional feasts. Therefore, to produce new self-help tableware, we collaborated with cooks, designers, potters, and a lacquer ware company. To ensure a comfortable traditional feast, the backgrounds and cultural manners ofeach ofthese specialists were integrated. Finally, traditional Japanese style tableware was produced through repeated trial manufacturing. We offered patients with eating disorders a Japanese style feast that ameliorates swallowing and we had them use the produced tableware. The observers, the patients, and patients' families approved of the tableware because it increased their appetite and they developed a positive attitude toward eating. In the future, the need for food that ameliorates swallowing will increase. This new eating culture is not only concerned with the production off ood, but also with the presentation ofits tableware. We are planning to support the development ofsuch a cuisine through a sponsored project, which will encourage collaboration between local manufacturing of traditional culture and occupational therapy.