후소아마비 증후군 환자의 연하 곤란
Clinical Findings of Swallowing Difficulties in Patients with Post-poliomyelitis Syndrome
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Objective: To evaluate the presence of swallowing difficulties in patients with post-poliomyelitis syndrome (PPS) by characterizing their swallowing patterns with videofluoroscopic swallowing study. Method: Eleven patients diagnosed with PPS were enrolled. All subjects answered the self assessment questionnaire for swallowing difficulty and gastric symptoms. We assessed the ability of tongue control, the oral transit time, cricopharyngeal opening time, and pharyngeal transit time. We also assessed the presence of aspiration or penetration and the amount of residue in the vallecular and pyriform sinus by four grade scales. A gastroenterologist examined esophagus, stomach and duodenum through an esophagogastroduodenoscopy. Results: Six patients complained swallowing difficulty and nine patients showed symptoms of esophageal regurgitation. Although finding of penetration or aspiration was not seen, all patients showed swallowing dysfunction in the videofluoroscopic swallowing study. In the esophagogastroduodenoscopy, chronic superficial gastritis was observed in all enrolled patients (n=11) and reflux esophagitis was found in 4 patients (36%). Conclusion: About half patients with PPS complained of dysphagia. Routine evaluation of dysphagia with videofluoroscopic swallowing study and esophagogastroduodenoscopy is needed in all patients with PPS due to the low reliability in their subjective symptom.
Abstract
Objective: To evaluate the presence of swallowing difficulties in patients with post-poliomyelitis syndrome (PPS) by characterizing their swallowing patterns with videofluoroscopic swallowing study. Method: Eleven patients diagnosed with PPS were enrolled. All subjects answered the self assessment questionnaire for swallowing difficulty and gastric symptoms. We assessed the ability of tongue control, the oral transit time, cricopharyngeal opening time, and pharyngeal transit time. We also assessed the presence of aspiration or penetration and the amount of residue in the vallecular and pyriform sinus by four grade scales. A gastroenterologist examined esophagus, stomach and duodenum through an esophagogastroduodenoscopy. Results: Six patients complained swallowing difficulty and nine patients showed symptoms of esophageal regurgitation. Although finding of penetration or aspiration was not seen, all patients showed swallowing dysfunction in the videofluoroscopic swallowing study. In the esophagogastroduodenoscopy, chronic superficial gastritis was observed in all enrolled patients (n=11) and reflux esophagitis was found in 4 patients (36%). Conclusion: About half patients with PPS complained of dysphagia. Routine evaluation of dysphagia with videofluoroscopic swallowing study and esophagogastroduodenoscopy is needed in all patients with PPS due to the low reliability in their subjective symptom.
참고문헌 (34)
- Jubelt B, "Post-polio syndrome", Curr Treat Options Neurol, 6, pp.87~93 (2004)
- Lee KA, "Clinical features of post-polio syndrome patients in Korea", J Korean Acad Rehab Med, 24, pp.517~526 (2000)
- Bartels MN, "Aging in polio", Phys Med Rehabil Clin N Am, 16, pp.197~218 (2005)
- Julien J, "Postpolio syndrome: poliovirus persistence is involved in the pathogenesis", J Neurol, 246, pp.472~476 (1999)
- Trojan DA, "Post-poliomyelitis syndrome", Muscle Nerve, 31, pp.6~19 (2005)
- Nollet F, "Postpolio syndrome", Arch Neurol, 61, pp.1142~1144 (2004)
- Windebank AJ, "Lack of progression of neurologic deficit in survivors of paralytic polio: a 5-year prospective population-based study", Neurology, 46, pp.80~84 (1996)
- Ragonese P, "Prevalence and risk factors of post- polio syndrome in a cohort of polio survivors", J Neurol Sci, 236, pp.31~35 (2005)
- Ramlow J, "Epidemiology of the post-polio syndrome", Am J Epdemiol, 136, pp.769~786 (1992)
- Lee EH, "Clinical features of sequelae in poliomyelitis patients", J Korean Acad Rehab Med, 21, pp.525~532 (1997)
- Cosgrove JL, "Late effects of poliomyelitis", Arch Phys Med Rehabil, 68, pp.4~7 (1987)
- Coelho CA, "Incidence and nature of dysphagia in polio survivors", Arch Phys Med Rehabil, 72, pp.1071~1075 (1991)
- Halstead LS, "Results of a survey of 201 polio survivors", South Med J, 78, pp.1281~1287 (1985)
- Lee KA, "Swallowing difficulties in polio survivors", J Korean Acad Rehab Med, 24, pp.684~690 (2000)
- Halstead LS, "Assessment and differential diagnosis for post- polio syndrome", Orthopedics, 11, pp.1209~1217 (1991)
- Han TR, "Viscosity control: effect on pharyngeal residue in dysphagia patients with reduced pharyngeal constriction", J Korean Acad Rehab Med, 27, pp.186~191 (2003)
- Han TR, "The effects of viscosity on oropharyngeal phase", J Korean Acad Rehab Med, 25, pp.236~240 (2001)
- Logemann JA, "Manual for the videofluorographic study of swallowing, 2nd ed", pp.115~117 (1993), Pro edition
- Kim HM, "Digestive tract, 1st ed", pp.24~103 (2005), Korean medicine
- Sonies BC, "Dysphagia and postpolio syndrome: Past, present, and future", Semin Neurol, 16, pp.365~370 (1996)
- Dalakas MC, "The post polio syndrome as an evoked clinical entity. Definition and clinical description", Ann Ny Aad Sci, 753, pp.68~80 (1995)
- Sonies BC, "Dysphagia in patients with the post polio syndrome", N Engl J Med, 324, pp.1162~1167 (1991)
- Jung SH, "Validation of clinical dysphagia scale: based on videofluoroscopic swallowing study", J Korean Acad Rehab Med, 29, pp.343~350 (2005)
- Buchholz DW, "Postpolio dysphagia", Dysphagia, 9, pp.99~100 (1994)
- Buchholz DW, "Dysphagia occurring after polio", Dysphagia, 6, pp.165~169 (1991)
- Sonies BC, "Progression of oral motor and swallowing symptoms in the post polio syndrome", Ann N Y Acad Sci, 753, pp.87~95 (1995)
- Lee SJ, "Prevalence of endoscopic reflux esophagitis among Koreans", J Gastroenterol Hepatol, 16, pp.373~376 (2001)
- Cho YS, "Prevalence and clinical spectrum of gastrosophageal reflux: a population based study in Asan-si, Korea", Am J Gastroenterol, 100, pp.747~753 (2005)
- Mihara M, "The role of endoscopic findings for the diagnosis of helicobacter pylori infection: evaluation in a country with high prevalence of atrophic gastritis", Helicobacter, 4, pp.40~48 (1999)
- Aoki K, "Comparison of prevalence of chronic atrophic gastritis in Japan, China, Tanzania, and the Dominican Republic", Ann Epidemiol, 15, pp.598~606 (2005)
- Silbergleit AK, "Evaluation, treatment, and follow up results of post polio patients with dysphagia", Otolaryngol Head Neck Surg, 104, pp.333~338 (1991)
- Ivanyi B, "Dysphagia in postpolio patients: a videofluorographic follow up study", Dysphagia, 9, pp.96~98 (1994)
- Abaza MM, "Laryngeal manifestations of postpoliomyelitis syndrome", J Voice, 14, pp.291~294 (2001)
- Driscoll BP, "Laryngeal function in postpolio patients", Laryngoscope, 105, pp.35~41 (1995)