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Related Experiment Videos

A skin lesion found by serendipity.

J Y Leland1, R P Shah, H M Adelman

  • 1University of South Florida, James A. Haley Veterans Hospital, USA.

Hospital Practice (1995)
|April 26, 2000
PubMed
Summary

Recurrent aspiration pneumonia in an elderly patient was linked to oropharyngeal dysfunction. A percutaneous gastrostomy tube was placed to manage this condition, improving patient outcomes.

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A man with palpable purpuric hand lesions.

Hospital practice (1995)·2003

Area of Science:

  • Geriatric Medicine
  • Neurology
  • Gastroenterology

Background:

  • Recurrent aspiration pneumonia presents a significant health challenge, particularly in elderly individuals with a history of cerebrovascular events.
  • Oropharyngeal dysfunction is a known risk factor for aspiration and subsequent pneumonia.

Observation:

  • A 77-year-old male with a history of strokes presented with recurrent aspiration pneumonia.
  • Video-esophagoscopy revealed oropharyngeal dysfunction as the likely cause of aspiration.

Findings:

  • The patient's oropharyngeal dysfunction was confirmed via video-esophagoscopy.
  • A percutaneous gastrostomy tube was successfully placed to facilitate feeding and prevent further aspiration.

Implications:

  • Percutaneous gastrostomy tube placement is an effective intervention for managing oropharyngeal dysfunction-related aspiration pneumonia.
  • Addressing oropharyngeal dysfunction is crucial in preventing recurrent pneumonia and improving quality of life in affected patients.

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