Effects of Orogastric Tubes on the Videofluoroscopic Swallowing Study Findings in Infants
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective: An orogastric tube is used frequently in infants because infants are obligate nose breathers and nasogastric tubes can cause partial nasal obstruction. This study examined whether the presence of an orogastric tube couldaffect the swallowing parameters assessed by a videofluoroscopic swallowing study in infants with dysphagia causedby a variety of reasons. Methods: Tests were conducted in 15 infants aged less than 150 days after birth who used an orogastric tube due todysphagia. Two tests were conducted. The first was conducted with an orogastric tube inserted. Subsequently, theorogastric tube was removed with a 5-minute break before the second test. Skilled physiatrists then analyzed therecorded video. The number of sucks required for one swallow, abnormalities of the pharyngeal phase, and penetration-aspiration scales were evaluated. Results: After removing the orogastric tube, the number of sucks required for one swallow reduced significantly (2.50±1.73 vs. 3.45±2.54, P=0.04). On the other hand, no statistical significance was observed in the results of the pharyngealphase and penetration-aspiration scale (5.60±3.16 vs. 5.9±3.81, P=0.41) with and without the orogastric tube. Conclusion: These findings showed that the insertion or non-insertion of an orogastric tube might not affect theswallowing abnormalities in the pharyngeal phase and the risk of aspiration. In addition, an orogastric tube mayhave a negative effect on the swallowing function in the oral phase
Abstract
Objective: An orogastric tube is used frequently in infants because infants are obligate nose breathers and nasogastric tubes can cause partial nasal obstruction. This study examined whether the presence of an orogastric tube couldaffect the swallowing parameters assessed by a videofluoroscopic swallowing study in infants with dysphagia causedby a variety of reasons. Methods: Tests were conducted in 15 infants aged less than 150 days after birth who used an orogastric tube due todysphagia. Two tests were conducted. The first was conducted with an orogastric tube inserted. Subsequently, theorogastric tube was removed with a 5-minute break before the second test. Skilled physiatrists then analyzed therecorded video. The number of sucks required for one swallow, abnormalities of the pharyngeal phase, and penetration-aspiration scales were evaluated. Results: After removing the orogastric tube, the number of sucks required for one swallow reduced significantly (2.50±1.73 vs. 3.45±2.54, P=0.04). On the other hand, no statistical significance was observed in the results of the pharyngealphase and penetration-aspiration scale (5.60±3.16 vs. 5.9±3.81, P=0.41) with and without the orogastric tube. Conclusion: These findings showed that the insertion or non-insertion of an orogastric tube might not affect theswallowing abnormalities in the pharyngeal phase and the risk of aspiration. In addition, an orogastric tube mayhave a negative effect on the swallowing function in the oral phase
참고문헌 (15)
- Jadcherla S, "Dysphagia in the high-risk infant: potential factors and mechanisms", Am J Clin Nutr, 103, pp.622S~628S (2016)
- Hiorns MP, "Current practice in paediatric videofluoroscopy", Pediatr Radiol, 36, pp.911~919 (2006)
- DeMatteo C, "Comparison of clinical and videofluoroscopic evaluation of children with feeding and swallowing difficulties", Dev Med Child Neurol, 47, pp.149~157 (2005)
- Fattori B, "Comparison between videofluoroscopy, fiberoptic endoscopy and scintigraphy for diagnosis of oro-pharyngeal dysphagia", Acta Otorhinolaryngol Ital, 36, pp.395~402 (2016)
- Huggins PS, "Effects of nasogastric tubes on the young, normal swallowing mechanism", Dysphagia, 14, pp.157~161 (1999)
- Alnassar M, "Nasogastric tubes and videofluoroscopic swallowing studies in children", Pediatr-Radiol, 41, pp.317~321 (2011)
- Klasner AE, "Pediatric orogastric and nasogastric tubes: A new formula evaluated", Ann Emerg Med, 39, pp.268~272 (2002)
- Turabi AA, "Esophageal perforation and pneumothorax after routine intraoperative orogastric tube placement", Case Rep, 2, pp.122~124 (2014)
- Lau C, "Development of suck and swallow mechanisms in infants", Ann NutrMetab, 66, pp.7~14 (2015)
- 백남종, "비디오 투시 연하 검사에 기초한 기능적 연하곤란 척도의 임상적 타당도", Annals of Rehabilitation Medicine, 29(1), pp.43~49 (2005), 대한재활의학회
- Robbins J, "Differentiation of normal and abnormal airway protection during swallowing using the Penetration-Aspiration Scale", Dysphagia, 14, pp.228~232 (1999)
- Leder SB, "Effect of nasogastric tubes on the incidence of aspiration", Arch Phys Med Rehabil, 89, pp.648~651 (2008)
- Capiloutoa GJ, "Infant Behav Dev", Infant Behav Dev, 37, pp.435~434 (2014)
- 남두현, "The Effects of the VFSS Timing After Nasogastric Tube Removal on Swallowing Function of the Patients With Dysphagia", Annals of Rehabilitation Medicine, 39(4), pp.517~523 (2015), 대한재활의학회
- JoAnne R, "Differentiation of normal and abnormal airway protection during swallowing using the penetration–aspiration scale", Dysphagia, 14, pp.228~232 (1999)