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Swallowing and the Upper Esophageal Sphincter

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Esophageal and Gastric Disorders in Infancy and Childhood
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Abstract

This chapter provides an overview of the normal mechanism of swallowing and the neurologic control of deglutition. The function of the upper esophageal sphincter is reviewed in the context of oropharyngeal dysphagia. A pediatric perspective is given regarding the etiology, assessment, and management of feeding and swallowing disorders.

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References

  1. Biancani P, Harnett KM, Behar J. Esophageal motor function. In: Yamada, Alpers, Laine, Owyang, Powell, editors. Textbook of gastroenterology. Philadelphia: Lippincott Williams & Wilkins; 1999. p. 157–87.

    Google Scholar 

  2. Christensen J, Lund GF. Esophageal responses to distension and electrical stimulation. J Clin Invest. 1969;48:408–19.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Wattchow DA, Furness JB, Costa M. Distribution and coexistence of peptides in nerve fibers of the external muscle of the human gastrointestinal tract. Gastroenterology. 1988;95:32–41.

    Article  CAS  PubMed  Google Scholar 

  4. Christensen J, Fang S, Rick GA. NADPH-diaphorase-positive nerve fibers in smooth muscle layers of opossum esophagus: gradients in density. J Auton Nerv Syst. 1995;52:99–105.

    Article  CAS  PubMed  Google Scholar 

  5. Linscheid TR, Budd KS, Rasnake LK. Esophageal motor function. In: Roberts MC, editor. Handbook of pediatric psychology. New York: Guilford Press; 2003. p. 482–98.

    Google Scholar 

  6. Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev. 2008;14:118–27.

    Article  PubMed  Google Scholar 

  7. Davies WH, et al. Reconceptualizing feeding and feeding disorders in interpersonal context: the case for a relational disorder. J Fam Psychol. 2006;20:409–17.

    Article  PubMed  Google Scholar 

  8. Taniguchi MH, Moyer RS. Assessment of risk factors for pneumonia in dysphagic children: significance of videofluoroscopic swallowing evaluation. Dev Med Child Neurol. 1994;36:495–502.

    Article  CAS  PubMed  Google Scholar 

  9. Mizuno K, et al. Infants with bronchopulmonary dysplasia suckle with weak pressures to maintain breathing during feeding. Pediatrics. 2007;120:e1035–42.

    Article  PubMed  Google Scholar 

  10. Carter BM. Treatment outcomes of necrotizing enterocolitis for preterm infants. J Obstet Gynecol Neonatal Nurs. 2007;36:377–84.

    Article  PubMed  Google Scholar 

  11. Rommel N, De Meyer AM, Feenstra L, Veereman-Wauters G. The complexity of feeding problems in 700 infants and young children presenting to a tertiary care institution. J Pediatr Gastroenterol Nutr. 2003;37:75–84.

    Article  PubMed  Google Scholar 

  12. Estep M, Barlow SM, Vantipalli R, Finan D, Lee J. Non-nutritive suck parameter in preterm infants with RDS. J Neonatal Nurs. 2008;14:28–34.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Poore M, Barlow SM, Wang J, Estep M, Lee J. Respiratory treatment history predicts suck pattern stability in preterm infants. J Neonatal Nurs. 2008;14:185–92.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Barlow SM, Finan DS, Lee J, Chu S. Synthetic orocutaneous stimulation entrains preterm infants with feeding difficulties to suck. J Perinatol. 2008;28:541–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Pinelli J, Symington A. Non-nutritive sucking for promoting physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev. 2005;CD001071.

    Google Scholar 

  16. Love RJ, Hagerman EL, Taimi EG. Speech performance, dysphagia and oral reflexes in cerebral palsy. J Speech Hear Disord. 1980;45:59–75.

    Article  CAS  PubMed  Google Scholar 

  17. Helfrich-Miller KR, Rector KL, Straka JA. Dysphagia: its treatment in the profoundly retarded patient with cerebral palsy. Arch Phys Med Rehabil. 1986;67:520–5.

    CAS  PubMed  Google Scholar 

  18. Logeman JA. Evaluation and treatment of swallowing disorders. Austin: Pro-Ed; 1998.

    Google Scholar 

  19. Hobdeen NJ, Cassidy SB, Allanson JE. Management of genetic syndromes. Wilmington, Hoboken: Wiley-Liss; 2005.

    Google Scholar 

  20. Messina S, et al. Feeding problems and malnutrition in spinal muscular atrophy type II. Neuromuscul Disord. 2008;18:389–93.

    Article  PubMed  Google Scholar 

  21. Engel-Hoek L, et al. Dysphagia in spinal muscular atrophy type II: more than a bulbar problem? Neurology. 2009;73:1787–91.

    Article  PubMed  Google Scholar 

  22. Sachdeva R, et al. Vocal cord dysfunction and feeding difficulties after pediatric cardiovascular surgery. J Pediatr. 2007;151:312–5, 315.

    Article  PubMed  Google Scholar 

  23. Clement WA, El Hakim H, Phillipos EZ, Cote JJ. Unilateral vocal cord paralysis following patent ductus arteriosus ligation in extremely low-birth-weight infants. Arch Otolaryngol Head Neck Surg. 2008;134:28–33.

    Article  PubMed  Google Scholar 

  24. Buckwalter JA, Sasaki CT. Effect of tracheotomy on laryngeal function. Otolaryngol Clin North Am. 1984;17:41–8.

    CAS  PubMed  Google Scholar 

  25. Goncalves MI, Radzinsky TC, da Silva NS, Chiari BM, Consonni D. Speech-language and hearing complaints of children and adolescents with brain tumors. Pediatr Blood Cancer. 2008;50:706–8.

    Article  PubMed  Google Scholar 

  26. Morgan AT. Dysphagia in childhood traumatic brain injury: a reflection on the evidence and its implications for practice. Dev Neurorehabil. 2010;13:192–203.

    Article  PubMed  Google Scholar 

  27. Balson BM, Kravitz EK, McGeady SJ. Diagnosis and treatment of gastroesophageal reflux in children and adolescents with severe asthma. Ann Allergy Asthma Immunol. 1998;81:159–64.

    Article  CAS  PubMed  Google Scholar 

  28. Miller JL, Watkin KL. Lateral pharyngeal wall motion during swallowing using real time ultrasound. Dysphagia. 1997;12:125–32.

    Article  CAS  PubMed  Google Scholar 

  29. Heyman S, Respondek M. Detection of pulmonary aspiration in children by radionuclide “salivagram”. J Nucl Med. 1989;30:697–9.

    CAS  PubMed  Google Scholar 

  30. Langmore SE. Endoscopic evaluation and treatment of swallowing disorders. New York: Thieme; 2001.

    Google Scholar 

  31. Willging JP. Endoscopic evaluation of swallowing in children. Int J Pediatr Otorhinolaryngol. 1995;32(Suppl):S107–8.

    Article  PubMed  Google Scholar 

  32. Willging JP, Thompson DM. Pediatric FEESST: fiberoptic endoscopic evaluation of swallowing with sensory testing. Curr Gastroenterol Rep. 2005;7:240–3.

    Article  PubMed  Google Scholar 

  33. Lindgren S, Ekberg O. Cricopharyngeal myotomy in the treatment of dysphagia. Clin Otolaryngol Allied Sci. 1990;15:221–7.

    Article  CAS  PubMed  Google Scholar 

  34. Brooks A, Millar AJ, Rode H. The surgical management of cricopharyngeal achalasia in children. Int J Pediatr Otorhinolaryngol. 2000;56:1–7.

    Article  CAS  PubMed  Google Scholar 

  35. Jain V, Bhatnagar V. Cricopharyngeal myotomy for the treatment of cricopharyngeal achalasia. J Pediatr Surg. 2009;44:1656–8.

    Article  PubMed  Google Scholar 

  36. Byars KC, et al. A multicomponent behavioral program for oral aversion in children dependent on gastrostomy feedings. J Pediatr Gastroenterol Nutr. 2003;37:473–80.

    Article  PubMed  Google Scholar 

  37. Mukkada VA, et al. Feeding dysfunction in children with eosinophilic gastrointestinal diseases. Pediatrics. 2010;126:e672–7.

    Article  PubMed  Google Scholar 

  38. Prasse JE, Kikano GE. An overview of pediatric dysphagia. Clin Pediatr (Phila). 2009;48:247–51.

    Article  Google Scholar 

  39. Arvedson JC. Management of pediatric dysphagia. Otolaryngol Clin North Am. 1998;31:453–76.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Robert E. Kramer MD .

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Kramer, R.E. (2017). Swallowing and the Upper Esophageal Sphincter. In: Till, H., Thomson, M., Foker, J., Holcomb III, G., Khan, K. (eds) Esophageal and Gastric Disorders in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11202-7_3

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  • DOI: https://doi.org/10.1007/978-3-642-11202-7_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11201-0

  • Online ISBN: 978-3-642-11202-7

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