Objective and Subjective Dysphagia Assessment in Inflammatory Bowel Diseases.

IF 1.1 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Emel Tahir, Müge Ustaoğlu
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引用次数: 0

Abstract

Introduction: Inflammatory bowel disease (IBD) is a chronic gastrointestinal disease that is separated into two types: ulcerative colitis (UC) and Crohn's disease (CD). Although dysphagia is a well-studied and important topic in head and neck cancers and neurological disorders, research on the relationship between IBD and swallowing problems is not yet elucidated. The aim of this study was to compare swallowing function in the UC and CD using objective and patient-reported evaluation modalities.

Methods: This was a prospective cross-sectional research with 86 patients (50 UC and 36 CD) treated at the gastroenterology department. The assessment includes flexible fiberoptic endoscopic examination (FEES). The penetration-aspiration scale, the functional oral intake scale (FOIS), the functional outcome swallowing scale (FOSS), the Eating Assessment Tool-10 (EAT-10) test, the Yale Pharyngeal Residue Severity Scale for vallecula (Yale PRSS-vallecula) and pyriform sinus (Yale PRSS-PS) were all used to determine extent of dysphagia.

Results: The CD group had higher EAT-10 scores than UC group (p = 0.014). In terms of PAS scores, there was no significant difference between the two groups in all three food types (water, yogurt, and crackers) (p > 0.05). There was not a statistically significant variance between the groups in terms of vallecular residue (p > 0.05) according to the Yale PRSS-vallecula. Based on the Yale PRSS-PS, the CD group had significantly more residue than the UC group with yogurt and cracker (p = 0.014 and 0.030, respectively). FOSS and FOIS scores did not vary significantly between the two groups (p > 0.05).

Conclusion: CD impairs subjective and pharyngeal swallowing functions more than UC. It is obvious that swallowing should be assessed in patients with IBD.

炎症性肠病的客观和主观吞咽困难评估。
简介炎症性肠病(IBD)是一种慢性胃肠道疾病,分为两种类型:溃疡性结肠炎(UC)和克罗恩病(CD)。虽然吞咽困难是头颈部癌症和神经系统疾病的一个重要研究课题,但有关 IBD 与吞咽困难之间关系的研究尚未阐明。本研究旨在采用客观和患者报告的评估方式,比较 UC 和 CD 的吞咽功能:这是一项前瞻性横断面研究,共有 86 名患者(50 名 UC 患者和 36 名 CD 患者)在消化内科接受治疗。评估包括柔性纤维内窥镜检查(FEES)。穿透-吸入量表、口腔摄入功能量表(FOIS)、吞咽功能结果量表(FOSS)、进食评估工具-10测试(EAT-10)、耶鲁咽残留物严重程度量表(Yale PRSS-Vallecula)和梨状窦(Yale PRSS-PS)均用于确定吞咽困难的程度:结果:CD组的EAT-10评分高于UC组(P=0.014)。在 PAS 评分方面,两组在所有三种食物类型(水、酸奶和饼干)上均无显著差异(P> 0.05)。在缬氨酸残留量方面,组间差异无统计学意义。(根据耶鲁 PRSS-vallecula,各组之间的缬氨酸残留量差异无统计学意义(p> 0.05)。根据 Yale PRSS-PS,CD 组的酸奶和饼干残留物明显多于 UC 组(p=0.014 和 0.030)。两组的 FOSS 和 FOIS 评分差异不大(P>0.05):结论:克罗恩病对主观和咽部吞咽功能的损害大于溃疡性结肠炎。结论:克罗恩病比溃疡性结肠炎对主观和咽部吞咽功能的影响更大,因此显然应该对炎症性肠病患者的吞咽功能进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Folia Phoniatrica et Logopaedica
Folia Phoniatrica et Logopaedica AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
2.30
自引率
10.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: Published since 1947, ''Folia Phoniatrica et Logopaedica'' provides a forum for international research on the anatomy, physiology, and pathology of structures of the speech, language, and hearing mechanisms. Original papers published in this journal report new findings on basic function, assessment, management, and test development in communication sciences and disorders, as well as experiments designed to test specific theories of speech, language, and hearing function. Review papers of high quality are also welcomed.
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