We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Pharyngeal Versus Esophageal Stasis: Accuracy of Symptom Localization.
- Authors
Marvin, Stevie; Thibeault, Susan
- Abstract
Purpose: The purpose of this article was to determine whether patients who complain of bolus stasis are accurate at localizing bolus stasis as measured by a videofluoroscopic swallowing study with an esophagram. Method: This study used a prospective analysis of outcomes data from the University of Wisconsin-Madison Voice and Swallow Outcomes database in patients with complaints of bolus stasis who completed the combined videofluoroscopic swallowing study and esophagram to determine the accuracy of bolus stasis localization. Results: Dysphagia evaluation was completed in 301 patients with complaints of bolus stasis. Patients with complaints of bolus stasis in the throat (i.e., pharynx and cervical esophagus) were less accurate at localizing bolus stasis than patients with complaints in the thoracic esophagus (p < .001). Esophageal stasis was the most common finding regardless of complaint location. Conclusion: Patients are poor at localizing bolus stasis, and esophageal stasis is common in patients who complain of pharyngeal stasis. This work supports a comprehensive evaluation of both the pharynx and the esophagus for patients with complaints of bolus stasis in the throat. Future research should focus on identifying symptom profiles that could lead to targeted swallowing evaluations based on patient history and complaint.
- Subjects
DEGLUTITION disorders; ESOPHAGUS; FLUOROSCOPY; LEG ulcers; LONGITUDINAL method; PHARYNX; RESEARCH funding; STATISTICS; DATA analysis; DATA analysis software; DESCRIPTIVE statistics
- Publication
American Journal of Speech-Language Pathology, 2020, Vol 29, Issue 2, p664
- ISSN
1058-0360
- Publication type
Article
- DOI
10.1044/2019_AJSLP-19-00161