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How to use the videofluoroscopy swallow study in paediatric practice

Gemma Batchelor1, Ben McNaughten1, Thomas Bourke1,2

  • 1Royal Belfast Hospital for Sick Children, Belfast, UK.

Archives of Disease in Childhood. Education and Practice Edition
|October 17, 2018
PubMed

Insights

Pediatric feeding and swallowing difficulties, known as dysphagia, affect up to 1% of children. This article details videofluoroscopy swallow (VFS) study indications, techniques, and limitations for assessing these issues.

Area of Science:

  • Pediatric Medicine
  • Gastroenterology
  • Speech-Language Pathology

Background:

  • Feeding, eating, drinking, and swallowing difficulties (dysphagia) affect up to 1% of children in pediatric practice.
  • Dysphagia disrupts the swallow sequence, compromising safety, efficiency, and nutritional intake, potentially leading to aspiration or choking.
  • Prevalence is increasing due to better survival rates in children with complex medical needs.

Purpose of the Study:

  • To outline the indications for performing videofluoroscopy swallow (VFS) studies in children.
  • To describe the technical aspects of conducting a VFS study.
  • To explain how to interpret VFS reports and discuss study limitations.

Main Methods:

  • Review of current literature and clinical guidelines on pediatric dysphagia assessment.
  • Description of the videofluoroscopy swallow (VFS) procedure, including imaging techniques and contrast materials.
  • Guidance on interpreting VFS findings and reporting.

Main Results:

  • Specific clinical scenarios and patient populations warranting VFS are identified.
  • Detailed technical parameters for optimal VFS image acquisition are provided.
  • Common pitfalls and limitations of the VFS study are discussed.

Conclusions:

  • Videofluoroscopy swallow (VFS) is a crucial diagnostic tool for evaluating pediatric dysphagia.
  • Understanding VFS indications, methodology, and interpretation is essential for accurate diagnosis and management.
  • Further research may refine VFS techniques and expand its application in pediatric swallowing disorders.

Keywords:
aspirationdysphagiageneral paediatricsimagingvideofluroscopy

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