| Clinical Findings of Swallowing Difficulties in Patients with Post-poliomyelitis Syndrome. |
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Han, Soo Jeong , Lee, Mee Jin , Yoon, Tae Sik , Bae, Hasuk |
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Department of Rehabilitation Medicine, Ewha Womans University School of Medicine, Korea. joyagape@hanmail.net |
| 후소아마비 증후군 환자의 연하 곤란 |
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한수정, 이미진, 윤태식, 배하석 |
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이화여자대학교 의학전문대학원 재활의학교실 |
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| Abstract |
Objective
To evaluate the presence of swallowing difficulties in patients with post-poliomyelitis syndrome (PPS) by characterizing their swallowing patterns with videofluoroscopic swallowing study.
Method
Eleven patients diagnosed with PPS were enrolled. All subjects answered the self assessment questionnaire for swallowing difficulty and gastric symptoms. We assessed the ability of tongue control, the oral transit time, cricopharyngeal opening time, and pharyngeal transit time. We also assessed the presence of aspiration or penetration and the amount of residue in the vallecular and pyriform sinus by four grade scales. A gastroenterologist examined esophagus, stomach and duodenum through an esophagogastroduodenoscopy.
Results
Six patients complained swallowing difficulty and nine patients showed symptoms of esophageal regurgitation. Although finding of penetration or aspiration was not seen, all patients showed swallowing dysfunction in the videofluoroscopic swallowing study. In the esophagogastroduodenoscopy, chronic superficial gastritis was observed in all enrolled patients (n=11) and reflux esophagitis was found in 4 patients (36%).
Conclusion
About half patients with PPS complained of dysphagia. Routine evaluation of dysphagia with videofluoroscopic swallowing study and esophagogastroduodenoscopy is needed in all patients with PPS due to the low reliability in their subjective symptom. (J Korean Acad Rehab Med 2008; 32: 411-416) |
| Key Words:
Dysphagia, Endoscopy, Post-poliomyelitis syndrome (PPS), Swallowing, Videofluoroscopy |
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