(Speech-Language Pathology) Screening for Esophageal Dysphagia: Enhancing the Clinical Utility of the Modified Barium Swallow Swallowing is a multiphase process that spans the oral cavity to the stomach. Traditionally, swallowing dysfunction is dichotomized into oropharyngeal and esophageal disorders, and the speech-language pathologist (SLP) is only charged with assessment and treatment of oral and pharyngeal phases. However, a growing body of research lends support to a ... Article
Article  |   May 29, 2018
(Speech-Language Pathology) Screening for Esophageal Dysphagia: Enhancing the Clinical Utility of the Modified Barium Swallow
Author Affiliations & Notes
  • Joy Gaziano
    Joy McCann Culverhouse Center for Swallowing Disorders, University of South Florida, Tampa, FL
  • Stephanie Watts
    Joy McCann Culverhouse Center for Swallowing Disorders, University of South Florida, Tampa, FL
  • Disclosures
    Disclosures ×
  • Financial: Joy Gaziano has no relevant financial interests to disclose. Stephanie Watts has no relevant financial interests to disclose
    Financial: Joy Gaziano has no relevant financial interests to disclose. Stephanie Watts has no relevant financial interests to disclose×
  • Nonfinancial: Joy Gaziano has no relevant nonfinancial interests to disclose. Stephanie Watts has no relevant nonfinancial interests to disclose.
    Nonfinancial: Joy Gaziano has no relevant nonfinancial interests to disclose. Stephanie Watts has no relevant nonfinancial interests to disclose.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Part 2
Article   |   May 29, 2018
(Speech-Language Pathology) Screening for Esophageal Dysphagia: Enhancing the Clinical Utility of the Modified Barium Swallow
Perspectives of the ASHA Special Interest Groups, May 2018, Vol. 3, 67-74. doi:10.1044/persp3.SIG13.67
History: Received November 2, 2017 , Revised February 16, 2018 , Accepted February 16, 2018
Perspectives of the ASHA Special Interest Groups, May 2018, Vol. 3, 67-74. doi:10.1044/persp3.SIG13.67
History: Received November 2, 2017; Revised February 16, 2018; Accepted February 16, 2018

Swallowing is a multiphase process that spans the oral cavity to the stomach. Traditionally, swallowing dysfunction is dichotomized into oropharyngeal and esophageal disorders, and the speech-language pathologist (SLP) is only charged with assessment and treatment of oral and pharyngeal phases. However, a growing body of research lends support to a more comprehensive view of dysphagia assessment, which may include a cursory view of the esophageal phase function during the SLP's instrumental assessment. Esophageal screening during videofluroscopic swallowing study has been reported, but there is great variability among protocols. There is no universal consensus on the role of the SLP in esophageal visualization during videofluroscopic swallowing study, but there is movement toward increasing support of the expanded study. A screening tool that can provide clinical data regarding possible underlying etiology of a patient's complaints, provide direction for additional testing, and hasten treatment of a disorder is a powerful addition to the clinical tools available for dysphagia management.

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