Polymyositis with dysphagia treated with endoscopic balloon dilatation

Nagano, Hikaru; Yoshifuku, Kousuke; Kurono, Yuichi

doi:10.1016/j.anl.2009.04.007

Cited by 23 publications

(19 citation statements)

References 4 publications

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“…This finding could be explained by the fact that patients with severe dysphagia and PEG still exhibit an increased risk for aspiration pneumonia . Similar to IBM, a balloon dilatation might be beneficial in PM and improve swallowing .…”

Section: Introductionmentioning

confidence: 96%

Diagnosis, pathogenesis and treatment of myositis: recent advances

Carstens

Schmidt

2014

Clinical and Experimental Immunology

111

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Diagnosis, pathogenesis and treatment of myositis: recent advances OTHER ARTICLES PUBLISHED IN THIS SERIESParaneoplastic neurological syndromes. Clinical and Experimental Immunology 2014, 175: 336-48. Disease-modifying therapy in multiple sclerosis and chronic inflammatory demyelinating polyradiculoneuropathy: common and divergent current and future strategies. Clinical and Experimental Immunology 2014, 175: 359-72

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Section: Introductionmentioning

confidence: 96%

Diagnosis, pathogenesis and treatment of myositis: recent advances

Carstens

Schmidt

2014

Clinical and Experimental Immunology

111

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“…Balloon dilatation therapy has been extensively used in the treatment of primary cricopharyngeal disorders and gastrointestinal tract strictures in recent decades [ 5 – 7 ]. The inflated balloon was used to passively stretch sphincter for several seconds without swallowing.…”

mentioning

confidence: 99%

Change in Excitability of Cortical Projection After Modified Catheter Balloon Dilatation Therapy in Brainstem Stroke Patients with Dysphagia: A Prospective Controlled Study

Wei

Dai

et al. 2017

Dysphagia

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Although the modified balloon dilatation therapy has been demonstrated to improve pharyngeal swallowing function post stroke, the underlying neural mechanisms of improvement are unknown. Our aims are (1) to investigate the effect of modified balloon dilatation on the excitability of corticobulbar projections to the submental muscle in dysphagic patients with brainstem stroke and (2) the relation between changes in excitability and pharyngeal kinematic modifications. Thirty patients with upper esophageal sphincter (UES) dysfunction due to unilateral brainstem stroke were recruited into two groups. The patients in dilatation group received modified balloon dilatation and conventional therapies, and those in control were only treated by conventional therapies (twice per day). The amplitudes of bilateral submental motor evoked potentials (MEPs) induced by transcranial magnetic stimulations over bilateral motor cortex, diameters of UES opening (UOD) and maximal displacement of hyoid (HD) were all assessed at baseline and the endpoint of treatments. Repeated ANOVA analysis revealed significant main effect of group, time and MEP laterality on MEP amplitudes (p = 0.02). There were no differences in the pretreatment measures between groups (all p > 0.05). After treatment, the amplitudes of affected submental MEP evoked by ipsilateral cortical pulse as well as UOD and HD were significantly different in dilatation group compared to control (amplitude: p = 0.02, UOD: p < 0.001, HD: p = 0.03). The differences of pre- and post-treatment amplitudes of the affected MEP evoked by ipsilateral stimulation showed a positive correlation with the improvement of HD (dilatation: R 2 = 0.51, p = 0.03; control: R 2 = 0.39, p = 0.01), rather than UOD in both groups (all p > 0.05). In conclusion, modified balloon dilatation therapy can increase the excitability of affected projection in patients with unilateral brainstem stroke.Electronic supplementary materialThe online version of this article (doi:10.1007/s00455-017-9810-6) contains supplementary material, which is available to authorized users.

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“…In a group of 13 patients with IM, 8 (62%) demonstrated aspiration on videofluoroscopy [7]. Although the highest incidence is reported in IBM, with 65-86% of IBM patients demonstrating dysphagic symptoms [6,[8][9][10][11], it has been reported to affect 30-60% of PM patients [12] and 18-20% of those with DM [13,14]. The swallowing difficulty reported by patients with IM is characterized by the sensation of food sticking in the pharynx [15], coughing, choking, or regurgitation while eating, and difficulty with solid and dry foods [2,16].…”

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confidence: 99%

Dysphagia in Inflammatory Myopathy: Self-report, Incidence, and Prevalence

2011

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This study compared self-reported incidence and prevalence of dysphagia in inflammatory myopathy diseases with instrumental data from videofluoroscopy in a cohort of 18 patients with inflammatory myopathies (inclusion body myositis, polymyositis, and dermatomyositis). We found a high self-report of incidence of dysphagia and demonstrated that symptoms described by the patients follow a characteristic pattern. We conclude that there is a high incidence of dysphagia in all three of the inflammatory myopathies. Questions about swallowing should routinely be included in inflammatory myopathy patient examinations in order to appropriately refer patients for further investigation of their swallowing function and avoid the complications associated with dysphagia.

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Polymyositis with dysphagia treated with endoscopic balloon dilatation

Cited by 23 publications

References 4 publications

Diagnosis, pathogenesis and treatment of myositis: recent advances

Diagnosis, pathogenesis and treatment of myositis: recent advances

Change in Excitability of Cortical Projection After Modified Catheter Balloon Dilatation Therapy in Brainstem Stroke Patients with Dysphagia: A Prospective Controlled Study

Dysphagia in Inflammatory Myopathy: Self-report, Incidence, and Prevalence

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