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Oropharyngeal Dysphagia

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Geriatric Gastroenterology

Abstract

Oropharyngeal dysphagia (OD) is defined as difficulty in moving a food bolus from the mouth to the upper esophagus and disproportionately affects the older population. There are a multitude of potential etiologies of OD, and current diagnostic testing modalities utilized to decipher the cause of OD in an individual geriatric patient include videofluoroscopic swallow studies, nasopharyngolaryngoscopy, fiber-optic endoscopic evaluation of swallowing, high-resolution manometry, as well as functional lumen imaging probe technology. Determining the particular etiology of OD in a patient can direct appropriate treatment. Management options for OD range from noninvasive swallow exercises and rehabilitative techniques targeted to the underlying pathophysiology to invasive therapy to the upper esophageal sphincter or non-oral feeding. A careful diagnostic evaluation with meticulous attention to the underlying mechanism of OD can allow a practitioner to weigh risks and benefits of suitable treatment options for older patients affected with OD.

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Authors and Affiliations

  1. Department of Medicine, NYU Langone Health, NYU School of Medicine, New York, NY, USA

    Custon Nyabanga

  2. Division of Gastroenterology. Department of Medicine, NYU Langone Health, NYU School of Medicine, New York, NY, USA

    Abraham Khan & Rita M Knotts

Authors
  1. Custon Nyabanga
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  2. Abraham Khan
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  3. Rita M Knotts
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Corresponding author

Correspondence to Abraham Khan .

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Editors and Affiliations

  1. Saint Peter's Healthcare System, New Brunswick, NJ, USA

    C. S. Pitchumoni

  2. Albert Einstein College of Medicine, Montefiore Medical Center, Wakefield Campus, Bronx, NY, USA

    T.S. Dharmarajan

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Nyabanga, C., Khan, A., Knotts, R.M. (2020). Oropharyngeal Dysphagia. In: Pitchumoni, C., Dharmarajan, T. (eds) Geriatric Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-319-90761-1_40-1

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  • DOI: https://doi.org/10.1007/978-3-319-90761-1_40-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90761-1

  • Online ISBN: 978-3-319-90761-1

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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