Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting
Wirth R, Dziewas R, Beck AM, Clave P, Hamdy S, Langmore S, Leischker AH, Martino R, Pluschinski P, Roesler A, Shaker R, Warnecke T, Sieber C, Volkert D, Heppner HJ (2016)
Publication Type: Journal article
Publication year: 2016
Journal
Book Volume: 11
Pages Range: 189-208
DOI: 10.2147/CIA.S97481
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.
Authors with CRIS profile
Cornel Sieber
Lehrstuhl für Innere Medizin (Geriatrie)
Dorothee Volkert
Professur für Klinische Ernährung im Alter
Hans Jürgen Heppner
Involved external institutions
Universitätsklinikum Münster
Germany (DE)
Medical College of Wisconsin (MCW)
United States (USA) (US)
Marien-Krankenhaus
Germany (DE)
Philipps-Universität Marburg
Germany (DE)
University of Toronto
Canada (CA)
Alexianer Krefeld GmbH
Germany (DE)
Boston University
United States (USA) (US)
University of Manchester
United Kingdom (GB)
Autonomous University of Barcelona (UAB) / Universitat Autònoma de Barcelona
Spain (ES)
Metropolitan University College
Denmark (DK)
St.-Marien-Hospital Borken
Germany (DE)
Universität Witten/Herdecke
Germany (DE)
Germany (DE)
Medical College of Wisconsin (MCW)
United States (USA) (US)
Marien-Krankenhaus
Germany (DE)
Philipps-Universität Marburg
Germany (DE)
University of Toronto
Canada (CA)
Alexianer Krefeld GmbH
Germany (DE)
Boston University
United States (USA) (US)
University of Manchester
United Kingdom (GB)
Autonomous University of Barcelona (UAB) / Universitat Autònoma de Barcelona
Spain (ES)
Metropolitan University College
Denmark (DK)
St.-Marien-Hospital Borken
Germany (DE)
Universität Witten/Herdecke
Germany (DE)
How to cite
APA:
Wirth, R., Dziewas, R., Beck, A.M., Clave, P., Hamdy, S., Langmore, S.,... Heppner, H.J. (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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