Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting

Journal article


Publication Details

Author(s): Wirth R, Dziewas R, Beck AM, Clave P, Hamdy S, Heppner HJ, Langmore S, Leischker AH, Martino R, Pluschinski P, Roesler A, Shaker R, Warnecke T, Sieber C, Volkert D
Journal: Clinical Interventions in Aging
Publication year: 2016
Volume: 11
Pages range: 189-208
ISSN: 1176-9092
eISSN: 1178-1998


Abstract

Oropharyngeal dysphagia (OD) is a highly prevalent and growing condition in the older population. Although OD may cause very severe complications, it is often not detected, explored, and treated. Older patients are frequently unaware of their swallowing dysfunction which is one of the reasons why the consequences of OD, ie, aspiration, dehydration, and malnutrition, are regularly not attributed to dysphagia. Older patients are particularly vulnerable to dysphagia because multiple age-related changes increase the risk of dysphagia. Physicians in charge of older patients should be aware that malnutrition, dehydration, and pneumonia are frequently caused by (unrecognized) dysphagia. The diagnosis is particularly difficult in the case of silent aspiration. In addition to numerous screening tools, videofluoroscopy was the traditional gold standard of diagnosing OD. Recently, the fiberoptic endoscopic evaluation of swallowing is increasingly utilized because it has several advantages. Besides making a diagnosis, fiberoptic endoscopic evaluation of swallowing is applied to evaluate the effectiveness of therapeutic maneuvers and texture modification of food and liquids. In addition to swallowing training and nutritional interventions, newer rehabilitation approaches of stimulation techniques are showing promise and may significantly impact future treatment strategies.


FAU Authors / FAU Editors

Sieber, Cornel Prof. Dr.
Lehrstuhl für Innere Medizin (Geriatrie)
Volkert, Dorothee Prof. Dr. rer. nat.
Professur für Klinische Ernährung im Alter


External institutions with authors

Alexianer Krefeld GmbH
Autonomous University of Barcelona (UAB) / Universitat Autònoma de Barcelona
Boston University
Marien-Krankenhaus
Medical College of Wisconsin (MCW)
Metropolitan University College
Philipps-Universität Marburg
Private Universität Witten/Herdecke gGmbH
St.-Marien-Hospital Borken
Universitätsklinikum Münster
University of Manchester
University of Toronto


How to cite

APA:
Wirth, R., Dziewas, R., Beck, A.M., Clave, P., Hamdy, S., Heppner, H.J.,... Volkert, D. (2016). Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting. Clinical Interventions in Aging, 11, 189-208. https://dx.doi.org/10.2147/CIA.S97481

MLA:
Wirth, Rainer, et al. "Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting." Clinical Interventions in Aging 11 (2016): 189-208.

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Last updated on 2019-15-03 at 08:53