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Novel Diagnostic Criteria for Functional Esophageal Disorders

Jung KW

The diagnosis of functional esophageal disorders has evolved from conventional manometry in 1970s to high-resolution manometry in 2010s. The conventional manometry was based on linear plot, whereas newly developed high-resolution...
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Aspiration Patterns Observed in Patients With Free Flap Reconstruction Following T3 and T4 Tongue and Oropharyngeal Cancer Surgery: A Fiberoptic Endoscopic Evaluation of Swallowing

Kim BH, Chung EJ, Rho YS

Background and Objectives The objectives of this study were to investigate the aspiration patterns in patients with T3 and T4 oral and oropharyngeal cancers after free flap reconstruction following primary...
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Chicago Classification ver. 4.0: An Overview of Esophageal Motility Disorders on High-resolution Manometry

Lee TH

This review introduces the updated Chicago Classification ver. 4.0 for esophageal motility disorders using metrics from high-resolution manometry (HRM). The Chicago Classification ver. 4.0 was developed by 52 diverse international...
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Deep Learning Analysis to Automatically Detect the Presence of Penetration or Aspiration in Videofluoroscopic Swallowing Study

Kim JK, Choo YJ, Choi GS, Shin H, Chang MC, Park D

Background: Videofluoroscopic swallowing study (VFSS) is currently considered the gold standard to precisely diagnose and quantitatively investigate dysphagia. However, VFSS interpretation is complex and requires consideration of several factors. Therefore,...
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A Case of Dysphagia due to Cricopharyngeal Dysfunction and Diffuse Idiopathic Skeletal Hyperostosis

Lim CH, Lee HJ, Park YG

Cricopharyngeal dysfunction is a disorder in which excessive tension in the upper esophageal sphincter occurs leads to dysphagia. Diffuse idiopathic skeletal hyperostosis is a disease in which excessive bone formation...
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Atypical Dysphagia in an Anti-Hu Positive Non-Small-Cell Lung Cancer Patient

Kim I, Kim J, Lee HY, Park GY, Jeong SA, Hwang H, Im S

Anti-Hu antibodies usually present in small cell lung cancer are associated with encephalomyelitis, encephalitis, cerebellitis, and neuropathies. However, to our knowledge, non-small-cell lung cancer (NSCLC) related anti-Hu syndrome presenting acute...
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The Influence of Pharyngeal Strength on the Outcome of Botulinum Toxin Treatment for Difficulty in Relaxation of the Upper Esophageal Sphincter

Yim DI, Seo M, Hwang SJ, Lee HJ, Park JW

Objective: Botulinum toxin was used to treat patients with difficulty in relaxation of the upper esophageal sphincter (UES), but the treatment did not always yield good results. We, therefore, attempted...
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Predictive Factors Associated with Achieving Oral Intake in Patients with Dysphagia

Moon JB, Kim JH, Kim YH, Ryu BJ

Objective: The purpose of this study was to determine oral intake predictors, including videofluoroscopic swallow study (VFSS) and Charlson Comorbidity Index (CCI), in patients with diseases/conditions requiring nasogastric (NG) tube...
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Alterations in the Swallowing Function According to the Severity of Obstructive Sleep Apnea Syndrome

Mun B, Song MK, Yang HC, Choi IS

Objective: Obstructive sleep apnea syndrome (OSAS) is a sleep-related breathing disorder that can have a significant impact on the quality of life. According to recent studies, some OSAS patients exhibit...
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Utilizing Pulmonary Function Parameters to Predict Dysphagia in Individuals With Cervical Spinal Cord Injuries

Lee SJ, Huh S, Ko SH, Min JH, Ko HY

Objective To utilize pulmonary function parameters as predictive factors for dysphagia in individuals with cervical spinal cord injuries (CSCIs). Methods Medical records of 78 individuals with CSCIs were retrospectively reviewed. The...
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Decreased Maximal Tongue Protrusion Length May Predict the Presence of Dysphagia in Stroke Patients

Cho H, Noh JS, Park J, Park C, Park ND, Ahn JY, Park JW, Choi YH, Chun SM

Objective To investigate the relationship between maximal tongue protrusion length (MTPL) and dysphagia in post-stroke patients. Methods Free tongue length (FTL) was measured using the quick tongue-tie assessment tool and MTPL...
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Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia

Choi J, Baek S, Kim G, Park Hw

Objective To investigate the relationship between voluntary peak cough flow (PCF), oropharyngeal dysphagia, and pneumonia in patients who were evaluated with videofluoroscopic swallowing study (VFSS). Methods Patients who underwent both VFSS...
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Pseudomyogenic Hemangioendothelioma Involving the Esophagus: A Case Report

Fadi Diab AR, Daradkeh SS, Hassouneh AM, Alabbadi AM

Herein, we describe the case of a 20-year-old woman who presented with dysphagia of 2 months’ duration associated with vomiting, moderate abdominal pain, decreased oral intake, and significant weight loss....
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Symptom Severity Related With Contraction Peaks in Patients With Jackhammer Esophagus

Xiao Y, Carlson DA, Pandolfino JE

  • KMID: 2521154
  • J Neurogastroenterol Motil.
  • 2021 Oct;27(4):540-544.
  • doi: 10.5056/jnm20229
Background/Aims Jackhammer esophagus is an uncommon heterogeneous motility disorder associated with a distal contractile integral > 8000 mmHg · sec · cm. The spectrum of abnormality ranges from a relatively normal...
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Diagnostic Yield of High-resolution Esophageal Manometry With Chicago Classification Version 3.0 in Thai Patients

Jandee S, Jandee K

  • KMID: 2521153
  • J Neurogastroenterol Motil.
  • 2021 Oct;27(4):533-539.
  • doi: 10.5056/jnm20088
Background/Aims High-resolution manometry with the Chicago classification scheme has been introduced in clinical practice as a gold standard for esophageal motility test. This study aims to evaluate the diagnostic yield of...
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Comparative Analysis of Relaxation Time Interval and Integrated Relaxation Pressure as Risk Factors for Aspiration in Patients With Oropharyngeal Dysphagia

Park JH, Sohn CI, Yoon KJ, Park JH

  • KMID: 2521151
  • J Neurogastroenterol Motil.
  • 2021 Oct;27(4):518-524.
  • doi: 10.5056/jnm20049
Background/Aims Integrated relaxation pressure (IRP) is an important metric for functional evaluation of the lower esophageal sphincter. However, the effectiveness of IRP for evaluation of upper esophageal sphincter (UES) function has...
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Dysphagia due to Physiological Constriction after Stroke: A Case Report

Bae M, Kang I, Hur Y, Hwang K

The aortic arch normally causes no symptomatic physiological constriction of the esophagus. Symptoms of dysphagia are generally observed in the presence of specific conditions, such as an aortic aneurysm. In...
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Reliability of Suprahyoid and Infrahyoid Electromyographic Measurements during Swallowing in Healthy Subjects

Park MW, Lee D, Seo HG, Han TR, Lee JC, Kim HC, Oh BM

Objective: To evaluate the reliability of suprahyoid and infrahyoid electromyography (EMG) measurement during swallowing. Methods: In all, 10 healthy volunteers were evaluated for the following surface EMG (sEMG) parameters in the...
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Depression is Associated with Chewing and Swallowing Function among Elderly Vendors in a Conventional Market: A Preliminary Research

Song HJ, Yoon YT, Kim S, Yang M, Lee M

Objective: This study aimed to investigate the level of chewing and swallowing function (CSF) and the factors related to CSF among elderly vendors in a conventional market. Methods: The cross-sectional study...
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Management and Treatment of Drooling: Focus on Non-Invasive Therapy for Children

Min Kc, Seo Sm, Woo Hs

Drooling is defined as the unintentional flow of saliva out of the mouth or to the back of the pharynx due to salivary control problems and swallowing difficulties. Drooling is...
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