Fluoroscopic findings of swallowing: comparison between preterm and full-term infants. 2011

Lenice de Fatima da Silva-Munhoz, and Karina Elena Bernadis Bühler
Universidade de São Paulo, São Paulo, SP, Brasil.

OBJECTIVE To describe the fluoroscopic findings of swallowing in preterm infants with zero to six months of age, as well as the related diseases and clinical signs and symptoms, and to compare these findings with data obtained from full-term infants. METHODS The retrospective findings of fluoroscopic studies carried out in infants with zero to six months of age and their respective files were analyzed. Participants were 40 subjects divided into two groups: Preterm Group, composed by 23 preterm infants, and Full-Term Group, with 17 infants born full-term. RESULTS Nasopharyngeal and gastroesophageal reflux were the main fluoroscopic findings of swallowing in both groups. There was no difference between the groups regarding the presence of swallowing disorders. The Preterm Group presented more cardiac problems than the Full-Term Group. No differences were found between the groups regarding neurologic and respiratory problems. With respect to clinical signs and symptoms suggestive of swallowing disorders, the Preterm Group presented more oxygen desaturation and the Full-Term Group, more vomiting. CONCLUSIONS Nasopharyngeal reflux and gastroesophageal reflux were the main fluoroscopic findings of swallowing in preterm infants with zero to six months of age. New follow-up studies with this population must be carried out to confirm the hypothesis that the swallowing alterations observed were due to immaturity in the swallowing function.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007234 Infant, Premature A human infant born before 37 weeks of GESTATION. Neonatal Prematurity,Premature Infants,Preterm Infants,Infant, Preterm,Infants, Premature,Infants, Preterm,Premature Infant,Prematurity, Neonatal,Preterm Infant
D007235 Infant, Premature, Diseases Diseases that occur in PREMATURE INFANTS.
D003680 Deglutition Disorders Difficulty in SWALLOWING which may result from neuromuscular disorder or mechanical obstruction. Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the PHARYNX and UPPER ESOPHAGEAL SPHINCTER; and esophageal dysphagia due to malfunction of the ESOPHAGUS. Dysphagia,Swallowing Disorders,Esophageal Dysphagia,Oropharyngeal Dysphagia,Deglutition Disorder,Disorders, Deglutition,Dysphagia, Esophageal,Dysphagia, Oropharyngeal,Swallowing Disorder
D005471 Fluoroscopy Production of an image when x-rays strike a fluorescent screen. Fluoroscopies
D005764 Gastroesophageal Reflux Retrograde flow of gastric juice (GASTRIC ACID) and/or duodenal contents (BILE ACIDS; PANCREATIC JUICE) into the distal ESOPHAGUS, commonly due to incompetence of the LOWER ESOPHAGEAL SPHINCTER. Esophageal Reflux,Gastro-Esophageal Reflux Disease,GERD,Gastric Acid Reflux,Gastric Acid Reflux Disease,Gastro-Esophageal Reflux,Gastro-oesophageal Reflux,Gastroesophageal Reflux Disease,Reflux, Gastroesophageal,Acid Reflux, Gastric,Gastro Esophageal Reflux,Gastro Esophageal Reflux Disease,Gastro oesophageal Reflux,Gastro-Esophageal Reflux Diseases,Reflux Disease, Gastro-Esophageal,Reflux, Gastric Acid,Reflux, Gastro-Esophageal,Reflux, Gastro-oesophageal
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor

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