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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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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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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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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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Assessment and Management of Dysphagia during the COVID-19 Pandemic

Ko SH

Dysphagia is a complication seen in patients with coronavirus disease 2019 (COVID-19). Even in a COVID-19 pandemic situation, the management of dysphagia caused by other diseases as well as dysphagia-related...
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The Pathologic Mechanisms and Epidemiology of Dysphagia Associated with COVID-19

Kim DY

Through the recent development and supply of COVID-19 vaccines, there is a growing interest in the management of post-treatment complications of survivors after infection, rather than the COVID-19 infection itself. Complications...
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Upright Integrated Relaxation Pressure Predicts Symptom Outcome for Esophagogastric Junction Outflow Obstruction

Chen S, Liang M, Tan N, Zhang M, Lin Y, Cao P, Zhuang Q, Xiao Y

  • KMID: 2517530
  • J Neurogastroenterol Motil.
  • 2021 Jul;27(3):363-369.
  • doi: 10.5056/jnm20106
Background/Aims Esophagogastric junction outflow obstruction (EGJOO) is characterized by elevated integrated relaxation pressure (IRP) and preserved esophageal peristalsis. The clinical significance of EGJOO is uncertain. This study aim to describe the...
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Percutaneous radiologic gastrostomy in patients with amyotrophic lateral sclerosis: A safe and effective technique

Xu C, Yang ZQ, Liu S, Yang W, Shi HB, Zhou WZ

Background: Percutaneous radiologic gastrostomy (PRG) was considered as an alternative technique for long-term enteral nutrition, and the current study is aimed to evaluate the feasibility and safety of this technique...
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Dysphagia Caused by Giant Granuloma Arising from the Oropharyngeal Posterior Wall

Jung EK, Shin BJ, Kim J, Lee JK

Granuloma is an uncommon benign disease that develops in the process of wound healing. Pharyngeal or laryngeal granuloma can be associated with gastric reflux, mechanical injury or trauma including intubation,...
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Predictors of Aspiration Pneumonia in the Elderly With Swallowing Dysfunction: Videofluoroscopic Swallowing Study

Ko JY, Shin DY, Kim TU, Kim SY, Hyun JK, Lee SJ

Objective To identify the variables of videofluoroscopic swallowing study (VFSS) that are useful for predicting the risk of aspiration pneumonia in elderly patients with dysphagia. Methods A total of 251 patients...
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