Home > Journals > Journal of Radiological Review > Past Issues > Journal of Radiological Review 2020 November-December;7(6) > Journal of Radiological Review 2020 November-December;7(6):427-34



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Journal of Radiological Review 2020 November-December;7(6):427-34

DOI: 10.23736/S2723-9284.20.00049-8


language: English, Italian

Radiologic evaluation of older adult’s swallow: our 11-year experience in presbyesophagus and presbyphagia

Filippo BARBIERA 1 , Elena MURMURA 1, Francesco LA SETA 2, Bruno MURMURA 3, Tommaso SMERALDI 3, Ludovico LA GRUTTA 3

1 Unit of Radiology, Hospital of Sciaccia-Sciacca-Ribera AG2 District, ASP Agrigento, Sciaccia, Agrigento, Italy; 2 Unit of Radiology, Cervello Hospital, ASP Villa Sofia-Vincenzo Cervello Hospital, Palermo, Italy; 3 Institute of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy

BACKGROUND: We made a retrospective evaluation of 496 outpatients over 67 years old with primary presbyphagia undergone digital videofluoroscopy swallow study (VFSS) at the Unit of Radiology in the Hospital of Sciacca in the last 11 years to assess prevalence of abnormalities of oral, pharyngeal and esophageal phases of swallowing.
METHODS: Among patients over 67 years old with primary dysphagia, we identified patients affected by presbyesophagus (P-group) and patients without presbyesophagus. In this last group, we identified patients with oral and/or pharyngeal phase alterations (N-group) and patients with normal swallowing (S-group) but with sliding hiatal hernia and/or gastro-esophageal reflux. We compared data using χ2 test (P<0.05).
RESULTS: Among 496 patients with primary dysphagia, 101 (20.4%) were included in P-group, 201 in N-group and 155 in S-group. In 39 (7.9%) VFSS did not demonstrate any alteration. Differences between P- and N- groups about oral phase’s alterations, aspiration and cricopharyngeal hypertonia and simultaneous presence of oral and pharyngeal phase’s alterations were not statistically significant. Prevalence of penetration, pharyngeal stasis, sliding jatal hernia were statistically significant, so their prevalence is higher in N-group than in P-group. The difference about gastro-esophageal reflux was statistically significant among our three groups and it is higher in N- and S-groups.
CONCLUSIONS: Our data confirm high prevalence of oral, pharyngeal and esophageal phases of swallowing’s alterations in old dysphagic patients with primary presbyphagia. Our results suggest that patients with presbyesophagus should be considered an its right own category among patients with presbyphagia. VFFS is fundamental in the diagnosis of these pathologic conditions.

KEY WORDS: Deglutition disorders; Pharynx; Gastroesophageal reflux

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