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[A swallowing study, based on clinico-pathological evaluation, performed by video-fluoroscopy]
Y Hasegawa1, T Yamamoto, T Inagaki
1Department of Internal Medicine, Nagoya City Koseiin Geriatric Hospital.
Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|March 29, 2000
Summary
Nasogastric tube feeding is common in cerebrovascular disease (CVD) and Alzheimer's patients, with pneumonia a major concern in CVD. Swallowing difficulties vary by neurological condition, impacting nutritional support needs.
Area of Science:
- Neurology
- Geriatrics
- Pathology
Context:
- Nasogastric nutritional support is frequently required in elderly patients.
- Cerebrovascular diseases (CVD) and senile dementia of Alzheimer's type (SDAT) are common indications for feeding support.
- Pneumonia is a significant complication and cause of mortality in CVD patients requiring nutritional support.
Purpose:
- To evaluate the clinico-pathological characteristics of patients requiring nasogastric nutritional support.
- To assess swallowing function in patients with neurological diseases using video-fluoroscopy.
- To correlate swallowing abnormalities with specific neurological conditions and disease severity.
Summary:
- Nasogastric tube feeding is prevalent in CVD and SDAT patients. Pneumonia is a major cause of death in CVD, while abnormal appetite drives feeding in SDAT.
- Swallowing studies revealed varying degrees of dysphagia in CVD, SDAT, and Parkinson's disease patients.
- CVD patients, especially with bilateral defects, showed significant swallowing abnormalities. SDAT patients exhibited relatively preserved swallowing function, while Parkinson's disease showed rapid deterioration with disease progression.
Impact:
- Findings highlight the distinct clinical profiles and outcomes associated with nasogastric support in different neurological conditions.
- Understanding swallowing dysfunction is crucial for optimizing nutritional management and patient care in neurological diseases.
- Video-fluoroscopic swallowing studies provide valuable insights into the pathophysiology of dysphagia in the elderly and those with neurological disorders.