노인에서의 구강인두 연하장애
Oropharyngeal Dysphagia in the Elderly
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초록
Dysphagia is difficulty of effect movement of the bolus from the mouth to the stomach. From and anatomical standpoints, dysphagia is typically classified as oropharyngeal dysphagia (OPD) and esophageal dysphagia (ED). In general, OPD is more highly prevalent condition compared with ED, and associated with severe complications such as malnutrition, dehydration and aspiration pneumonia. These complications are fatal especially in the elderly. Therefore, for preventing severe complications, appropriate and prompt management should be provided to dysphagia patients. However, the decrease of swallowing function is considered as a part of natural aging process. This condition is called as presbyphagia. Although Presbyphagia refers to characteristic changes in the process of swallowing of healthy elderly, it can be a risk factor of dysphagia. With this in mind, for avoiding overdiagnosis or underdiagnosis of dysphagia, we should distinguish among presbyphagia, dysphagia and other related diagnoses. For this reason, understanding about physiology of normal swallowing and natural changes of swallows by aging are essential for physicians. Hence, this review discusses the normal swallow, senile changes of swallow, and dysphagia especially in OPD. (JKDS 2016;6:49-53)
Abstract
Dysphagia is difficulty of effect movement of the bolus from the mouth to the stomach. From and anatomical standpoints, dysphagia is typically classified as oropharyngeal dysphagia (OPD) and esophageal dysphagia (ED). In general, OPD is more highly prevalent condition compared with ED, and associated with severe complications such as malnutrition, dehydration and aspiration pneumonia. These complications are fatal especially in the elderly. Therefore, for preventing severe complications, appropriate and prompt management should be provided to dysphagia patients. However, the decrease of swallowing function is considered as a part of natural aging process. This condition is called as presbyphagia. Although Presbyphagia refers to characteristic changes in the process of swallowing of healthy elderly, it can be a risk factor of dysphagia. With this in mind, for avoiding overdiagnosis or underdiagnosis of dysphagia, we should distinguish among presbyphagia, dysphagia and other related diagnoses. For this reason, understanding about physiology of normal swallowing and natural changes of swallows by aging are essential for physicians. Hence, this review discusses the normal swallow, senile changes of swallow, and dysphagia especially in OPD. (JKDS 2016;6:49-53)
참고문헌 (15)
- Di Pede C, "Dysphagia in the elderly: focus on rehabilitation strategies", Aging Clin Exp Res (2015)
- Wirth R, "Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting", Clin Interv Aging, 11, pp.189~208 (2016)
- Granieri E, "Nutrition and the older adult", Dysphagia, 4, pp.196~201 (1990)
- Clave P, "Dysphagia: current reality and scope of the problem", Nat Rev Gastroenterol Hepatol, 12, pp.259~270 (2015)
- Michou E, "Characterization of corticobulbar pharyngeal neurophysiology in dysphagic patients with Parkinson's disease", Clin Gastroenterol Hepatol, 12, pp.2037-45 e1~2037-45 e4 (2014)
- Loret C, "Using sensory properties of food to trigger swallowing : a review", Crit Rev Food Sci Nutr, 55, pp.140~145 (2015)
- Rofes L, "Diagnosis and management of oropharyngeal Dysphagia and its nutritional and respiratory complications in the elderly", Gastroenterol Res Pract, 2011 (2011)
- Ney DM, "Senescent swallowing:impact, strategies, and interventions", Nutr Clin Pract, 24, pp.395~413 (2009)
- "Nervenarzt", 2015, 440~451
- Mu L, "Alpha-synuclein pathology and axonal degeneration of the peripheral motor nerves innervating pharyngeal muscles in Parkinson disease", J Neuropathol Exp Neurol, 72, pp.119~129 (2013)
- Niimi A, "Impaired cough reflex in patients with recurrent pneumonia", Thorax, 58, pp.152~153 (2003)
- Cabre M, "Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia", Age Ageing, 39, pp.39~45 (2010)
- 양은주, "Oropharyngeal Dysphagia in a Community-Based Elderly Cohort: the Korean Longitudinal Study on Health and Aging", Journal of Korean Medical Science, 28(10), pp.1534~1539 (2013), 대한의학회
- Serra-Prat M, "Oropharyngeal dysphagia as a risk factor for malnutrition and lower respiratory tract infection in independently living older persons: a population-based prospective study", Age Ageing, 41, pp.376~381 (2012)
- Hu X, "Aspiration-related deaths in 57 consecutive patients: autopsy study", PLoS One, 9, pp.e103795~ (2014)