A Retrospective Analysis of the Pharyngeal Swallow in Patients with a Clinical Diagnosis of GERD Compared with Normal Controls: A Pilot Study

Abstract

In gastroesophageal reflux disease (GERD), there is a reverse flow of gastric contents up through the esophagus and potentially into the pharynx. Some patients who have GERD have reported difficulty in oropharyngeal swallowing. This study was designed to determine whether differences in the pharyngeal swallow exist in a sample of subjects diagnosed with GERD as compared with normal controls and to identify those events that may be different from normal. Functional measurements and timing data were taken from videofluorographic studies of 9 patients with GERD and 9 age and gender-matched controls. Several subjects with GERD spontaneously utilized compensatory maneuvers despite clinically normal swallows. Results show significant differences in some swallow temporal measures between the two groups. Implications of the effects of reflux are discussed.

Oropharyngeal Dysphagia and Diabetes Mellitus: Screening of 200 Type 1 and Type 2 Patients in Cairo, Egypt

“…The second most common complaint (65.7%) was “When I swallow, food sticks in my throat.” This symptom could be indicative of delayed emptying of the pharynx. Both symptoms could also imply gastroesophageal reflux disease, as a relationship between gastroesophageal reflux disease and oropharyngeal dysphagia has previously been established [7]. …”

Oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease: a systematic review

“…Although this systematic review did not concentrate on the data pertaining to the prevalence of COPD and GERD, it is important not to ignore the high prevalence of GERD in this population as a concomitant contributor to oropharyngeal swallowing complaints 54,55 , and as an exacerbating factor in respiratory decompensation 14,30,[32][33][34]41,47 .…”

Preliminary Temporal Measurement Analysis of Normal Oropharyngeal Swallowing in Infants and Young Children

“…Reasons for referral included choking, coughing, gagging and/or vomiting during or after mealtime, gastroesophageal reflux, chest congestion, upper respiratory infections, or combinations of these concerns. VFSS Procedure Participants 7,8,9,11,12,13 and 15 were seated upright in a Multiple Application Multiple Articulation (MAMA) chair appropriate for infants, toddlers, and children up to 75 lb and 5 ft tall. The MAMA chair fits into standardized fluoroscopy units to allow for feeding and view of the swallow in the lateral projection.…”