Clinical Characteristics, Evaluation, and Management of Gastrointestinal Conditions in Pediatric Patients With Aerodigestive Disorders and Its Impact on the Airway

Chen, Charles B.; El-Halabi, Issam

doi:10.1007/s40124-023-00284-5

Cited by 1 publication

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“…Weaning thickener may be performed based on clinical symptoms or by repeat MBSS, although there is significant variation in clinical practice [25]. In the aforementioned survey of practitioners at aerodigestive centers by Dy et al , the most popular interval to repeat a feeding evaluation and MBSS was between three to six months [19].…”

Section: Aspirationmentioning

confidence: 99%

Nutritional and feeding challenges in aerodigestive patients

Chen

2023

Current Opinion in Pediatrics

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Purpose of review Aerodigestive disorders encompass conditions that affect both the airway and gastrointestinal tract. These include conditions such as acquired and congenital defects of the airway and esophagus as well as neuromuscular disorders. Patients often suffer from dysphagia, aspiration, and respiratory disorders. This article will provide a review of current practices in the management of feeding disorders, oropharyngeal dysphagia, and nutritional support in the aerodigestive population. Recent findings Oral aversion, aspiration, and feeding-tube dependence are all commonly encountered problems in the aerodigestive population. Intensive inpatient and outpatient programs along with use of appetite stimulants and psychotropic medications may help to improve feeding-related disorders. Aspiration affects many patients and requires close monitoring of clinical symptoms along with routine assessment with video fluoroscopy. Developments in blenderized feeds and formula supplementation have also provided new options for patients with feeding intolerance. Summary Patients with aerodigestive disorders require complex medical care, and multidisciplinary teams are the most effective in addressing their medical needs. Advances in feeding, occupational, and pharmacologic therapy have allowed healthcare providers to better address the needs of these patients.

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Section: Aspirationmentioning

confidence: 99%