Vol. 22 No. 1 (2025)
An Approach To:

Approach to: Dysphagia

Raisa Chowdhury
McGill
Raihanah Alsayegh
Department of Otolaryngology-Head and Neck Surgery
Hamad Almhanedi
Department of Otolaryngology-Head and Neck Surgery
George Gerardis
Department of Otolaryngology-Head and Neck Surgery

Published 2025-06-01

Keywords

  • Swallowing difficulty,
  • dysphagia,
  • Swallowing disorders,
  • Swallowing therapy,
  • oropharyngeal

How to Cite

1.
Chowdhury R, Alsayegh R, Almhanedi H, Gerardis G. Approach to: Dysphagia. McGill J Med [Internet]. 2025 Jun. 1 [cited 2025 Dec. 28];22(1):1-8. Available from: https://mjm.mcgill.ca/article/view/1107

Abstract

Dysphagia, a condition marked by difficulty in swallowing, demands a comprehensive approach for effective management. It delves into the collaborative care essential for its successful treatment. Drawing upon the expertise of a multidisciplinary team—comprising speech-language therapists, nurses, physicians, occupational therapists, and physical therapists—this collective effort aims at an all-encompassing evaluation and tailored interventions for individuals grappling with swallowing disorders. Effective communication and mutual respect among team members form the cornerstone, shaping a holistic management strategy to address the challenges posed by dysphagia.

 

Downloads

Download data is not yet available.

References

  1. Azer SA, Kanugula AK, Kshirsagar RK. Dysphagia. 2023. PMID: 32644600. https://pubmed.ncbi.nlm.nih.gov/32644600/
  2. Halama AR. Clinical approach to the dysphagic patient. Acta Otorhinolaryngol Belg. 1994;48(2):119-26. PMID: 8209674. https://pubmed.ncbi.nlm.nih.gov/8209674/
  3. Cook IJ. Diagnostic evaluation of dysphagia. Nat Clin Pract Gastroenterol Hepatol. 2008;5(7):393–403. PMID: 18542115. https://pubmed.ncbi.nlm.nih.gov/18542115/
  4. Bill J, Rajagopal S, Kushnir V, Gyawali CP. Diagnostic yield in the evaluation of dysphagia: experience at a single tertiary care center. Dis Esophagus. 2018;31(6). doi: 10.1093/dote/doy013. PMID: 29800269. https://pubmed.ncbi.nlm.nih.gov/29800269/
  5. Wilkinson JM, Codipilly DC, Wilfahrt RP. Dysphagia: Evaluation and Collaborative Management. Am Fam Physician. 2021;103(2):97-106. PMID: 33448766. https://pubmed.ncbi.nlm.nih.gov/33448766/
  6. O’Horo JC, Rogus-Pulia N, Garcia-Arguello L, Robbins J, Safdar N. Bedside diagnosis of dysphagia: A systematic review. J Hosp Med. 2015;10(4):256–65. doi: 10.1002/jhm.2313. Epub 2015 Jan 12. PMID: 25581840; PMCID: PMC4607509. https://pubmed.ncbi.nlm.nih.gov/25581840/
  7. Park MI. Approach of dysphagia. Korean J Gastroenterol. 2021;77(2):57–63. doi: 10.4166/kjg.2021.017. PMID: 33632995. https://pubmed.ncbi.nlm.nih.gov/33632995/
  8. DePippo KL, Holas MA, Reding MJ. The Burke dysphagia screening test: validation of its use in patients with stroke. Arch Phys Med Rehabil. 1994;75(12):1284-6. PMID: 7993165. https://pubmed.ncbi.nlm.nih.gov/7993165/
  9. Kornfehl J. Bildgebende Techniken bei Erkrankungen des Pharynx - Erwartungen und Anforderungen des Klinikers. Radiologe. 2000;40(7):596–600. doi: 10.1007/s001170050780. PMID: 10955289. https://pubmed.ncbi.nlm.nih.gov/10955289/
  10. Butt I, Kasmin F. Esophageal pH Monitoring. 2023. PMID: 31971729. https://pubmed.ncbi.nlm.nih.gov/31971729/
  11. Perez I, Smithard DG, Davies H, Kalra L. Pharmacological treatment of dysphagia in stroke. Dysphagia. 1998;13(1):12–6. doi: 10.1007/PL00009543. PMID: 9391222. https://pubmed.ncbi.nlm.nih.gov/9391222/
  12. Logemann JA. Behavioral management for oropharyngeal dysphagia. Folia Phoniatr Logop. 1999;51(4–5):199–212. doi: 10.1159/000021497. PMID: 10450026. https://pubmed.ncbi.nlm.nih.gov/10450026/
  13. Logemann JA. Approaches to management of disordered swallowing. Baillieres Clin Gastroenterol. 1991;5(2):269–80. doi: 10.1016/0950-3528(91)90030-5. PMID: 1912652. https://pubmed.ncbi.nlm.nih.gov/1912652/
  14. Speyer R, Sandbekkbråten A, Rosseland I, Moore JL. Dysphagia care and management in rehabilitation: A national survey. J Clin Med. 2022;11(19):5730. doi: 10.3390/jcm11195730. PMID: 36233598; PMCID: PMC9571108. https://pubmed.ncbi.nlm.nih.gov/36233598/
  15. Cichero JAY. Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety. Nutr J. 2013;12(1). doi: 10.1186/1475-2891-12-54. PMID: 23634758; PMCID: PMC3660277. https://pubmed.ncbi.nlm.nih.gov/23634758/
  16. Fujishima I. Treatment and management for severe dysphagia: medication, rehabilitation and surgery. Rinsho Shinkeigaku. 2011;51(11):1066–8. doi: 10.5692/clinicalneurol.51.1066. PMID: 22277479. https://pubmed.ncbi.nlm.nih.gov/22277479/
  17. Rowat A. Enteral tube feeding for dysphagic stroke patients. Br J Nurs. 2015;24(3):138–45. doi: 10.12968/bjon.2015.24.3.138. PMID: 25679242. https://pubmed.ncbi.nlm.nih.gov/25679242/
  18. Cools-Lartigue J, Jones D, Spicer J, Zourikian T, Rousseau M, Eckert E, et al. Management of dysphagia in esophageal adenocarcinoma patients undergoing neoadjuvant chemotherapy: Can invasive tube feeding be avoided? Ann Surg Oncol. 2015;22(6):1858–65. doi: 10.1245/s10434-014-4270-9. Epub 2014 Dec 5. PMID: 25476030. https://pubmed.ncbi.nlm.nih.gov/25476030/
  19. Wu C, Zhu X, Zhou X, Li C, Zhang Y, Zhang H, et al. Intermittent tube feeding for stroke patients with dysphagia: a meta-analysis and systematic review. Ann Palliat Med. 2021;10(7):7406–15. doi: 10.21037/apm-21-736. PMID: 34353034. https://pubmed.ncbi.nlm.nih.gov/34353034/
  20. Heritage M. A collaborative approach to the assessment and management of dysphagia. Int J Lang Commun Disord. 2001;36(S1):369–74. doi: 10.3109/13682820109177913. PMID: 11340814. https://pubmed.ncbi.nlm.nih.gov/11340814/