Yutma güçlüğü olan hastaların tanısında fiberoptik endoskopiyle yutma değerlendirmesi ve modifiye baryumlu yutma testinin etkinlikleri

Yıl 2005, Cilt: 15 Sayı: 5, 103 - 111, 03.10.2005

Mustafa Gerek Altan Atalay Engin Çekin Müzeyyen Çiyiltepe Yalçın Özkaptan

Öz

Amaç: Çeşitli patolojilere bağlı yutma bozukluğu olanhastalarda, fiberoptik endoskopiyle yutma değerlendirmesi FEYD ile modifiye baryumlu yutma testinin MBYT etkinlikleri karşılaştırıldı.Hastalar ve Yöntemler: Yutma bozukluğu olan 80hasta üç gruba ayrıldı. Birinci grup oral, farengeal, larengeal kitleli n=27 , ikinci grup nörojenik disfajili n=26 , üçüncü grup ise belirgin patolojisi bulunmayan n=27 hastalardan oluşmaktaydı. HastalardaFEYD ve MBYT ile yumuşak damak elevasyonu, nazal regürjitasyon, farengeal rezidü, penetrasyon, aspirasyon, priform sinüs ve vallekülada göllenme bulguları arandı.Bulgular: Nörolojik olguların aspirasyon ve vallekülada göllenme bulgusunu tespit etmede MBYT dahaetkili bulundu p

Anahtar Kelimeler

Baryum sülfat/tanısal kullanım, kontrast madde, yutma bozuklukları/tanı, endoskopi

The effectiveness of fiberoptic endoscopic swallow study and modified barium swallow study techniques in diagnosis of dysphagia

Öz

Objectives: The purpose of this study was to evalu- ate the effectiveness of fiberoptic endoscopic evalu- ation of swallowing FEES and the modified barium swallow test MBST in patients with dysphagia.Patients and Methods: Eighty patients with dyspha­ gia were evaluated in three groups consisting of 27 patients with oral, pharyngeal, or esophageal masses; 26 patients with neurogenic dysphagia; and 27 patients with no distinct pathology. Ali the patients undervvent FEES and MBST to examine elevation of the soft palate, nasal regurgitation, pharyngeal residue, penetration, aspiration, and pooling of secre- tions in the pyriform sinüs and vallecula.Results: İn neurogenic dysphagia, MBST was more efficacious in detecting aspiration and pooling in the vallecula p<0.05 . Evaluation of the internal anato- my, visualization of masses, and laryngopharyngeal sensory discrimination were only possible with the FEES. On the other hand, evaluation of the elevation of the larynx and the hyoid, the relaxation of the upper esophageal sphincter, and the oral phase of swal- lowing, and the detection of esophageal pathologies were only possible with the MBST.Conclusion: The leading advantages of the two eval­ uation techniques seem to lie in the detection of aspi­ ration for the FEES, and dynamic evaluation of the oral and esophageal phases of swallowing for the MBST.

Anahtar Kelimeler

Barium sulfate/diagnostic use, contrast media, deglutition disorders/diagnosis, endoscopy

Kaynakça

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