Fluoroscopic findings of swallowing: comparison between preterm and full-term infants

Lenice de Fatima da Silva-Munhoz1, Karina Elena Bernadis Bühler

  • 1Universidade de São Paulo, São Paulo, SP, Brasil.

Insights

Swallowing difficulties, including nasopharyngeal and gastroesophageal reflux, are common in preterm infants. Further research is needed to confirm if these swallowing alterations stem from functional immaturity.

Area of Science:

  • Pediatric Gastroenterology
  • Neonatology
  • Swallowing Disorders

Background:

  • Swallowing function is crucial for infant development.
  • Preterm infants may exhibit unique feeding challenges compared to full-term infants.
  • Fluoroscopic assessment provides insights into the mechanics of swallowing.

Purpose of the Study:

  • To detail fluoroscopic swallowing findings in preterm infants (0-6 months).
  • To correlate these findings with clinical signs, symptoms, and associated conditions.
  • To compare swallowing dynamics in preterm versus full-term infants.

Main Methods:

  • Retrospective analysis of fluoroscopic swallowing studies in infants aged 0-6 months.
  • Inclusion of 40 infants: 23 preterm and 17 full-term.
  • Review of associated medical records for clinical data.

Main Results:

  • Nasopharyngeal and gastroesophageal reflux were prevalent in both preterm and full-term infants.
  • No significant differences in the incidence of swallowing disorders were observed between groups.
  • Preterm infants showed more cardiac issues and oxygen desaturation; full-term infants experienced more vomiting.

Conclusions:

  • Nasopharyngeal and gastroesophageal reflux are key fluoroscopic findings in preterm infant swallowing.
  • Further longitudinal studies are recommended to validate the hypothesis of swallowing immaturity as the cause.
Abstract

Related Concept Videos

Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Deglutition01:25

Deglutition

Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...