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Dysphagia - DOAJ

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Last Updated: 13 September 2022

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Palliative radiotherapy combined with stent insertion to relieve dysphagia in advanced esophageal carcinoma patients: A systematic review and meta−analysis

Methods The mean survival in patients with advanced esophageal cancer treated with stenting alone or a combination of stenting and palliative radiotherapy has been determined on PROSPERO. Objective: The aim of this study was to determine whether dysphagia is cured in patients with incurable esophageal cancer patients. After a stenting program in the esophageal cancer stenting group, the meta-analysis findings were pooled by either a random-effect model or a fixed-effects model. ConclusionsNine trials included 851 patients in this meta-analysis, consisting of 412 patients in the stenting alone group and 439 patients in the palliative radiotherapy. Moreover, there were no significant differences between the two groups in bleeding events, pain events, and stent migration, so if you're looking for a unique way to survive and dysphagia scores from ROCS.

Source link: https://doi.org/10.3389/fonc.2022.986828


Effect of Peripheral Magnetic Stimulation for Dysphagia Rehabilitation: A Systematic Review

A recent study has identified a surgical technique to boost the suprahyoid muscle's fitness by peripheral magnetic stimulation for dysphagia rehabilitation. The aim of this review was to systematically review scientific trials of peripheral magnetic stimulation used for dysphagia repair. Between 2010 and 2022, a systematic review of four databases to find relevant studies on repetitive peripheral magnetic stimulation for swallowing-related muscles. Positive effects on the suprahyoid muscles were shown by the rPMS on the suprahyoid bone, muscle strength, swallowing confidence, swallowing safety, swallowing safety, and swallowing-related quality of life. During rPMS, participants also reported little pain and discomfort. Although rPMS is a non-invasive stimulation device in dysphagia rehabilitation, it is still requires scientific evidence to support the development of concrete stimulation protocols and guidelines.

Source link: https://doi.org/10.3390/nu14173514


A Unique Case of Tacrolimus-Induced Dysphagia and Dysarthria in the Absence of Diagnostic Findings

Email thomase3@uthsa. eduAbstract: With high success in preventing graft rejection in liver transplant recipients, Elizabeth Thomas, Department of Surgery, Long School of Medicine, 78229, Texas, USA, 7703 Floyd Curl Drive, MSC, 7858, USA, Tel 210-567-7000, USA, Elizabeth Thomas, Beth Thomas, Edward Thomas, 7703, San Antonio, Texas, 78229, Texas, USA, Tel 785858285858585858585758585848285433, t, Tel 66583@ut rejection in liver transplantation in liver transplantsc graft rejection, Tel 66385458585258583830, Tel 7609, Tel 773@ut, TX, Tel 7858307, San Antonio, Tel 773@ut, TX, 7808901703@t, TX, 78229, TX, 783@ut, Tel 7858583037629, This case concerns a 68-year-old female who died donor liver transplantation and was embarked on an immunosuppressive regiment of tacrolimus that was adjusted to therapeutic trough. Dyphagia was present in patients POD 8u2013 16. Patient POD 13-13. Unaes of POD 13-u2013 16, the patient displayed altered mental stability and dysarthria. ph38. com This is the first documented case of dysphagia and dysarthria as key signs of tacrolimus toxicity, as shown by tacrolimus toxicity.

Source link: https://doaj.org/article/afe646bdcaff4d1e86c08d2313983283


Risk factors and long‐term postoperative outcomes in patients with postoperative dysphagia after esophagectomy for esophageal cancer

Abstract Aim Dysphagia is one of the most common problems after esophagectomy. However, no research has looked at the long-term postoperative outcomes in patients with postoperative dysphagia. Methods This review included 304 patients with thoracic esophageal cancer who underwent curative esophagectomy. Hospital stays were also significantly extended in the dysphagia group, where a substantial number of patients died of u2010hospital pneumonia was clearly elevated, despite the fact that hospital stays were also significantly increased. After discharge, 37 patients with postoperative dysphagia developed pneumonia. A significant number of patients with postoperative dysphagia developed pneumonia even more than one year since esophagectomy, compared to those without postoperative dysphagia. No difference in weight loss was apparent 1 year after esophagectomy, but significant weight loss was observed two years after esophagectomy in the dysphagia group. Conclusions Both preoperative patient causes and surgical causes were associated with postoperative dysphagia. Moreover, patients with postoperative dysphagia also had long-term and short-term pneumonia risk in addition.

Source link: https://doi.org/10.1002/ags3.12566


Laparoscopic gastrojejunostomy with laparoscopic-assisted percutaneous endoscopic gastrostomy for superior mesenteric artery syndrome with dysphagia: a case report

Abstract Background The superior mesenteric artery syndrome denotes a mechanical duodenal blockage between the SMA and aorta. However, surgical intervention is recommended if the patient's condition does not improve with conservative therapy. SMA syndrome with dysphagia treated by laparoscopic gastrojejunostomy with laparoscopic-assisted percutaneous endoscopic gastrostomy here. Case study A 64-year-old man was admitted to another hospital due to appetite loss and vomiting. The compression of the third part of the duodenum between the SMA and aorta was revealed by computed tomography. There were no signs of leakage or stenosis on postoperative day 3, according to Contrast radiography. Conclusion Gastrostomy is often employed to provide a means for administering enteral nutrition in patients with dysphagia. The blockage must be treated surgically by patients with SMA syndrome in patients with dysphagia. We discuss a case of SMA syndrome with dysphagia treated by laparoscopic gastrojejunostomy with laparoscopic-assisted percutaneous endoscopic gastrostomy here.

Source link: https://doi.org/10.1186/s40792-022-01522-6


Prevalence and management of dysphagia in nursing home residents in Europe and Israel: the SHELTER Project

Abstract Background Dysphagia is a common problem among older nursing home residents, and can cause hunger and death. Methods The SHELTER study, which included a retrospective observational study of 3451 European and Israeli NHRs older than 65 years, who were active in the SHELTER study from 2009 to 2011, measured at baseline and after 12 months. Using the Cognitive Performance Scale, functional status using Activities of Daily Living Hierarchy scale, cognitive status was assessed. The mortality rate in subjects with dysphagia was significantly higher than that of non-dysphagic controls during the one-year follow-up. According to the multivariate analysis, dysphagia-infected NHRs had a 58 percent higher risk of death within 1 year than non-dysphagic subjects. Despite the clinical conditions of patients on AN being more restricted, NHRs treated with AN after 12 months of nutritional intervention had similar mortality and weight loss to those who were eating texture modified diets.

Source link: https://doi.org/10.1186/s12877-022-03402-y


Implementation of the VA Intensive Dysphagia Treatment Program: A Mixed-Methods Evaluation

The Department of Veterans Affairs Intensive Dysphagia Treatment program is a vital role in delivering improved quality of care, standardization of outcomes, and expanded access to structured therapy for Veterans with dysphagia. SLPs from All 23 IDT program SLPs were encouraged to take part in an online survey. SLPs were asked to share etiologies related to SLP testing, the majority of which were clinically relevant program elements, and characteristics of patients referred to therapy. Qualitative interviews/focus groups were then conducted at three facilities with 9 SLPs at various levels of program experience.

Source link: https://doi.org/10.1177/11786329221121207


Photobiomodulation Therapy in the Treatment of Chronic Dysphagia Post Hormonal Therapy in a Breast Cancer Patient

In this case report, an effective treatment of chronic dysphagia post hormonal therapy in a breast cancer patient was demonstrated. To determine the efficiency of the therapy in the pre-operative, per-, and post-operative phases, the functional outcome swallowing scale for staging oropharyngeal dysphagia was used. PBM is also highly effective in the treatment of dysphagia, a side effect of hormonal therapy in a cancer patient, according to this story.

Source link: https://doi.org/10.3390/dj7020053


Therapeutic Effect and Optimal Electrode Placement of Transcutaneous Neuromuscular Electrical Stimulation in Patients with Post-Stroke Dysphagia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Background: To date, there is no conclusive evidence that transcutaneous neuromuscular electrical stimulation aids patients with post-stroke dysphagia. TNMES alone was not effective to traditional swallowing treatments, and combined therapy of TNMES and CSTs far exceeded CSTs alone. In addition, high pooled effect sizes were found in subgroups with horizontal electrode placement above and below the hyoid bone and horizontal electrode placement just above and below the hyoid bone. Horizontal electrode placement may aim for suprahyoid muscles or both suprahyoid and thyrohyoid muscles.

Source link: https://doi.org/10.3390/life12060875


Impact of Surgical Intervention on Nonobstructive Dysphagia: A Retrospective Study Based on High-Resolution Impedance Manometry in a Taiwanese Population at a Single Institution

A significant number of nonobstructive dysphagia patients account for a large number of nonobstructive dysphagia disorders, which account for a heterogeneous group of diagnoses that often result in peristaltic deposition and impaired relaxation of the lower esophageal sphincter. We conducted a single-institution retrospective research that included continuous patients with persistent dysphagia who underwent HRIM from December 2014 to December 2019, analyzing demographic, medical, and manometric results using descriptive statistics. Our research sought to clarify the clinical characteristics of patients with nonobstructive dysphagia based on HRIM in a Taiwanese population, as well as the therapeutic outcomes of such patients who eventually underwent surgical intervention.

Source link: https://doi.org/10.3390/jpm12040590

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions