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Dysphagia pp 575–599Cite as

Complications of Oropharyngeal Dysphagia: Malnutrition and Aspiration Pneumonia

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The prevalence of oropharyngeal functional dysphagia among older people and neurological patients is very high and and can cause two important types of complications in these patients: (a) a decrease in the efficacy of deglutition leading to malnutrition and dehydration, (b) a decrease in deglutition safety, leading to tracheobronchial aspiration which results in aspiration pneumonia and can lead to death. Clinical screening methods should be used to identify patients with oropharyngeal dysphagia in order to identify those patients who are at risk of aspiration or malnutrition, videofluoroscopy (VFS) being the gold standard. Their study must be completed with a nutritional assessment to determine the risk of malnutrition and the status of hydration. Treatment with dietetic changes in bolus volume and viscosity, as well as rehabilitation procedures can improve deglutition and prevent nutritional and respiratory complications in these patients. Therefore, diagnosis and management of oropharyngeal dysphagia needs a multidisciplinary approach.

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Authors and Affiliations

  1. Unidad de Exploraciones Funcionales Digestivas, Hospital de Mataró, Universitat Autònoma de Barcelona, Barcelona, Spain

    Silvia Carrión & Pere Clavé

  2. Centro de Investigación Biomédica en red de Enfermedades Hepáticas y Digestivas (Ciberehd), Instituto de Salud Carlos III, Madrid, Spain

    Silvia Carrión & Pere Clavé

  3. Service de Physiologie, Hôpital Charles Nicolle, CHU de Rouen, Rouen, France

    Eric Verin

  4. Department of Clinical Medicine, Sapienza University, Rome, Italy

    Alessandro Laviano

Authors
  1. Silvia Carrión
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  2. Eric Verin
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  3. Pere Clavé
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  4. Alessandro Laviano
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Corresponding author

Correspondence to Pere Clavé .

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Editors and Affiliations

  1. Skåne University Hospital, Dept. Clinical Sciences/, Lund University, Södra Förstadsgatan 101, Malmö, 205 02, Sweden

    Olle Ekberg

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Carrión, S., Verin, E., Clavé, P., Laviano, A. (2011). Complications of Oropharyngeal Dysphagia: Malnutrition and Aspiration Pneumonia. In: Ekberg, O. (eds) Dysphagia. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_348

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  • DOI: https://doi.org/10.1007/174_2011_348

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