Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding
Abstract Background In clinical practice, a large number of post-stroke survivors require nasogastric tube (NGT) placement and nasal feeding for a relatively long period. However, its impact on the swallowing function remains largely unknown. This study examines the impact of prolonged placement of...
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | BMC Neurology |
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| Online Access: | http://link.springer.com/article/10.1186/s12883-019-1314-6 |
| _version_ | 1828191682871427072 |
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| author | Zhi-Yong Wang Jian-Min Chen Guo-Xin Ni |
| author_facet | Zhi-Yong Wang Jian-Min Chen Guo-Xin Ni |
| author_sort | Zhi-Yong Wang |
| collection | DOAJ |
| description | Abstract Background In clinical practice, a large number of post-stroke survivors require nasogastric tube (NGT) placement and nasal feeding for a relatively long period. However, its impact on the swallowing function remains largely unknown. This study examines the impact of prolonged placement of an NGT on the swallowing function of elderly post-stroke patients. Methods The participants of this study were 30 elderly post-stroke patients who had been using an NGT for more than 2 months. A videofluoroscopic swallowing study (VFSS) was performed before and 5 h after removal of the NGT. The following parameters were analyzed and compared, the functional dysphagia scale (FDS), residue in the valleculae, residue in the pyriform sinuses, and the penetration-aspiration scale (PAS). In addition, prior to the VFSS, the pharynx and larynx were examined using a fiberoptic laryngoscope. Results Significant differences were observed between the total scores of the FDS, pharyngeal transit times (PTTs), the residue in the valleculae, and the residue in the pyriform sinuses before and after the NGT removal, suggesting an improved swallowing function following the removal of the NGT. A significantly lower penetration-aspiration degree was found after removing the NGT compared with that before its removal. In addition, examinations using the fiberoptic laryngoscope showed that laryngopharyngeal edema was present in three quarters of the patients. Conclusions Our results demonstrate that prolonged placement of the NGT had a negative impact on the swallowing function of elderly post-stroke dysphagia patients, mainly on the pharyngeal phase. |
| first_indexed | 2024-04-12T08:42:57Z |
| format | Article |
| id | doaj.art-a037012b6218443c92348f593b10b6be |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-12T08:42:57Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-a037012b6218443c92348f593b10b6be2022-12-22T03:39:48ZengBMCBMC Neurology1471-23772019-05-011911710.1186/s12883-019-1314-6Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feedingZhi-Yong Wang0Jian-Min Chen1Guo-Xin Ni2Department of Rehabilitation Medicine, First Affiliated Hospital, Fujian Medical UniversityDepartment of Rehabilitation Medicine, First Affiliated Hospital, Fujian Medical UniversityDepartment of Rehabilitation Medicine, First Affiliated Hospital, Fujian Medical UniversityAbstract Background In clinical practice, a large number of post-stroke survivors require nasogastric tube (NGT) placement and nasal feeding for a relatively long period. However, its impact on the swallowing function remains largely unknown. This study examines the impact of prolonged placement of an NGT on the swallowing function of elderly post-stroke patients. Methods The participants of this study were 30 elderly post-stroke patients who had been using an NGT for more than 2 months. A videofluoroscopic swallowing study (VFSS) was performed before and 5 h after removal of the NGT. The following parameters were analyzed and compared, the functional dysphagia scale (FDS), residue in the valleculae, residue in the pyriform sinuses, and the penetration-aspiration scale (PAS). In addition, prior to the VFSS, the pharynx and larynx were examined using a fiberoptic laryngoscope. Results Significant differences were observed between the total scores of the FDS, pharyngeal transit times (PTTs), the residue in the valleculae, and the residue in the pyriform sinuses before and after the NGT removal, suggesting an improved swallowing function following the removal of the NGT. A significantly lower penetration-aspiration degree was found after removing the NGT compared with that before its removal. In addition, examinations using the fiberoptic laryngoscope showed that laryngopharyngeal edema was present in three quarters of the patients. Conclusions Our results demonstrate that prolonged placement of the NGT had a negative impact on the swallowing function of elderly post-stroke dysphagia patients, mainly on the pharyngeal phase.http://link.springer.com/article/10.1186/s12883-019-1314-6Indwelling nasogastric tubePost-stroke dysphagiaSwallowing functionLong-term nasal feeding |
| spellingShingle | Zhi-Yong Wang Jian-Min Chen Guo-Xin Ni Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding BMC Neurology Indwelling nasogastric tube Post-stroke dysphagia Swallowing function Long-term nasal feeding |
| title | Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding |
| title_full | Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding |
| title_fullStr | Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding |
| title_full_unstemmed | Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding |
| title_short | Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding |
| title_sort | effect of an indwelling nasogastric tube on swallowing function in elderly post stroke dysphagia patients with long term nasal feeding |
| topic | Indwelling nasogastric tube Post-stroke dysphagia Swallowing function Long-term nasal feeding |
| url | http://link.springer.com/article/10.1186/s12883-019-1314-6 |
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