Fiberoptic endoscopic evaluation of swallowing in swallowing disorders – fees-. Case report at Popayán, Colombia.
Dysphagia is a frequently pathological condition in patients with stroke and carries a substantial risk of dehydration, malnutrition and aspiration pneumonia. So far there are two methods for diagnosis; Videofluoroscopy (VFC) and Fiberoptic Endoscopic Evaluation of Swallowing (FEES). The first is...
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Format: | Article |
Language: | Spanish |
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Universidad del Cauca
2011-09-01
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Series: | Revista de la Facultad de Ciencias de la Salud |
Subjects: | |
Online Access: | http://facultadsalud.unicauca.edu.co/revista/ojs2/index.php/rfcs/article/view/71 |
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author | Rodrigo Molina-García Diego Velasco-Cárdenas Lucía Arroyo-Castillo Diana valencia-Solano Andrés Vargas |
author_facet | Rodrigo Molina-García Diego Velasco-Cárdenas Lucía Arroyo-Castillo Diana valencia-Solano Andrés Vargas |
author_sort | Rodrigo Molina-García |
collection | DOAJ |
description | Dysphagia is a frequently pathological condition in patients with stroke and carries a substantial risk of dehydration, malnutrition and aspiration pneumonia. So far there are two methods for diagnosis; Videofluoroscopy (VFC) and Fiberoptic Endoscopic Evaluation of Swallowing (FEES). The first is considered the gold standard method, with a high cost, radiation exposure that requires the transfer of the patient to radiology, the patient’s ability to follow simple commands and time required to complete. VFC does not replicate physiological conditions in which the patient is routinely, so it is considered that its representation is limited, the second test is an alternative procedure to be more economical, safe, well tolerated, widely available, lasting approximately 20 minutes and with the possibility of doing it in the patient’s bed. Unlike FVC, to evaluate the presence of pharyngeal, this correlates with the risk of aspiration. Clinical report: The objective of this report is to present a male patient, 33 years old, who admitted to a health institution because it presents a clini cal picture compatible with stroke, as findings found right hemiplegia and swallowing disorder, as required gastrostomy tubes. We performed Fiberoptic Endoscopic Evaluation of Swallowing (FEES) as a diagnostic method, which allowed visualization of the anatomic and functional environment, the type of food consistency could be secure in their feeding process, thus avoiding silent aspirations and insights that could lead an aspiration pneumonia. It also allowed the group to make recommendations for nutritional support, physiotherapy and speech therapy for ambulatory management of the patient. |
first_indexed | 2024-12-20T02:55:01Z |
format | Article |
id | doaj.art-ae9ceb48d63c41dbb0a66bc9faadfaae |
institution | Directory Open Access Journal |
issn | 0124-308X |
language | Spanish |
last_indexed | 2024-12-20T02:55:01Z |
publishDate | 2011-09-01 |
publisher | Universidad del Cauca |
record_format | Article |
series | Revista de la Facultad de Ciencias de la Salud |
spelling | doaj.art-ae9ceb48d63c41dbb0a66bc9faadfaae2022-12-21T19:55:56ZspaUniversidad del CaucaRevista de la Facultad de Ciencias de la Salud0124-308X2011-09-01133232772Fiberoptic endoscopic evaluation of swallowing in swallowing disorders – fees-. Case report at Popayán, Colombia.Rodrigo Molina-García0Diego Velasco-Cárdenas1Lucía Arroyo-Castillo2Diana valencia-Solano3Andrés Vargas4Clínica La Estancia, Popayán-ColombiaUniversidad del Cauca Departamento de Ciencias quirúrgicasClínica La Estancia, Popyán-colombiaFisiocenter, Popayán-ColombiaUniversidad del CaucaDysphagia is a frequently pathological condition in patients with stroke and carries a substantial risk of dehydration, malnutrition and aspiration pneumonia. So far there are two methods for diagnosis; Videofluoroscopy (VFC) and Fiberoptic Endoscopic Evaluation of Swallowing (FEES). The first is considered the gold standard method, with a high cost, radiation exposure that requires the transfer of the patient to radiology, the patient’s ability to follow simple commands and time required to complete. VFC does not replicate physiological conditions in which the patient is routinely, so it is considered that its representation is limited, the second test is an alternative procedure to be more economical, safe, well tolerated, widely available, lasting approximately 20 minutes and with the possibility of doing it in the patient’s bed. Unlike FVC, to evaluate the presence of pharyngeal, this correlates with the risk of aspiration. Clinical report: The objective of this report is to present a male patient, 33 years old, who admitted to a health institution because it presents a clini cal picture compatible with stroke, as findings found right hemiplegia and swallowing disorder, as required gastrostomy tubes. We performed Fiberoptic Endoscopic Evaluation of Swallowing (FEES) as a diagnostic method, which allowed visualization of the anatomic and functional environment, the type of food consistency could be secure in their feeding process, thus avoiding silent aspirations and insights that could lead an aspiration pneumonia. It also allowed the group to make recommendations for nutritional support, physiotherapy and speech therapy for ambulatory management of the patient.http://facultadsalud.unicauca.edu.co/revista/ojs2/index.php/rfcs/article/view/71Disfagia, accidente cerebrovascular, neumonía por aspiración |
spellingShingle | Rodrigo Molina-García Diego Velasco-Cárdenas Lucía Arroyo-Castillo Diana valencia-Solano Andrés Vargas Fiberoptic endoscopic evaluation of swallowing in swallowing disorders – fees-. Case report at Popayán, Colombia. Revista de la Facultad de Ciencias de la Salud Disfagia, accidente cerebrovascular, neumonía por aspiración |
title | Fiberoptic endoscopic evaluation of swallowing in swallowing disorders – fees-. Case report at Popayán, Colombia. |
title_full | Fiberoptic endoscopic evaluation of swallowing in swallowing disorders – fees-. Case report at Popayán, Colombia. |
title_fullStr | Fiberoptic endoscopic evaluation of swallowing in swallowing disorders – fees-. Case report at Popayán, Colombia. |
title_full_unstemmed | Fiberoptic endoscopic evaluation of swallowing in swallowing disorders – fees-. Case report at Popayán, Colombia. |
title_short | Fiberoptic endoscopic evaluation of swallowing in swallowing disorders – fees-. Case report at Popayán, Colombia. |
title_sort | fiberoptic endoscopic evaluation of swallowing in swallowing disorders fees case report at popayan colombia |
topic | Disfagia, accidente cerebrovascular, neumonía por aspiración |
url | http://facultadsalud.unicauca.edu.co/revista/ojs2/index.php/rfcs/article/view/71 |
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