Patients with Dysphagia: How to Supply Nutrition Through Non-tube Feeding

Overview

Journal Front Nutr

Specialty Nutritional Sciences

Date 2022 Dec 19

PMID 36532550

Authors

Zhean Shen

Yingze Hou

Ayideng Huerman

Aiqin Ma

Affiliations

Soon will be listed here.

Abstract

Objective: Dysphagia has become one of the important factors that cause malnutrition in the whole age group. At present, tube feeding is still the mainstream means to solve the problem of dysphagia. However, tube feeding has physical and mental harm to people, and the ways of non-tube feeding are relatively diversified. The significance of the thickening mechanism described in some articles to solve the problem of dysphagia is not clear.

Setting And Participants: All patients with dysphagia worldwide, including oropharyngeal dysphagia (OD) and non-oropharyngeal dysphagia.

Methods: We searched the literature in Pubmed, Web of Science and Cochrane Library and initially browsed the titles and abstracts. We reviewed the full text of the articles that met our topic, and the language of the article was limited to English.

Results: We found that food thickening to a certain degree (350-1,750 cP) can reduce the complications of choking, aspiration, reflux, and other complications in patients with dysphagia, and reduce the social disorder, anxiety, and other psychological problems caused by catheterization and surgery. Significantly, food science engineers should invite clinicians to intervene in the development of specialty foods from different perspectives such as clinical pathophysiology and fluid mechanics.

Conclusion And Implications: It is necessary to develop special foods for patients with dysphagia, which requires scientists from different disciplines to work together.

Citing Articles

Feasibility of Achieving Dose Constraints for Dysphagia Aspiration-Related Structures and Its Clinical Significance in Intensity-Modulated Radiotherapy Planning of Head and Neck Cancer.

Agarwal Sr K, Kumar P, S N, Kumar P, Garg A, Nigam J Cureus. 2024; 16(2):e53769.

PMID: 38465172 PMC: 10922219. DOI: 10.7759/cureus.53769.

Food Processing and Nutrition Strategies for Improving the Health of Elderly People with Dysphagia: A Review of Recent Developments.

Liu T, Zheng J, Du J, He G Foods. 2024; 13(2).

PMID: 38254516 PMC: 10814519. DOI: 10.3390/foods13020215.

References

CASSELLA R, BROWN Jr A, SAYRE G, ELLIS Jr F . ACHALASIA OF THE ESOPHAGUS: PATHOLOGIC AND ETIOLOGIC CONSIDERATIONS. Ann Surg. 1964; 160:474-87. PMC: 1408778. DOI: 10.1097/00000658-196409000-00010. View

Kyodo R, Kudo T, Horiuchi A, Sakamoto T, Shimizu T . Pureed diets containing a gelling agent to reduce the risk of aspiration in elderly patients with moderate to severe dysphagia: A randomized, crossover trial. Medicine (Baltimore). 2020; 99(31):e21165. PMC: 7402755. DOI: 10.1097/MD.0000000000021165. View

Grant M, Rudberg M, Brody J . Gastrostomy placement and mortality among hospitalized Medicare beneficiaries. JAMA. 1998; 279(24):1973-6. DOI: 10.1001/jama.279.24.1973. View

Huppertz V, van Wijk N, Baijens L, de Groot L, Halfens R, Schols J . Design of the DYNAMO study: a multi-center randomized controlled trial to investigate the effect of pre-thickened oral nutritional supplements in nursing home residents with dysphagia and malnutrition (risk). BMC Geriatr. 2020; 20(1):537. PMC: 7734895. DOI: 10.1186/s12877-020-01947-4. View

Triggs J, Pandolfino J . Recent advances in dysphagia management. F1000Res. 2019; 8. PMC: 6719674. DOI: 10.12688/f1000research.18900.1. View

Schrag S, Sharma R, Jaik N, Seamon M, Lukaszczyk J, Martin N . Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review. J Gastrointestin Liver Dis. 2008; 16(4):407-18. View

Hadde E, Nicholson T, Cichero J . Evaluation of Thickened Fluids Used in Dysphagia Management Using Extensional Rheology. Dysphagia. 2019; 35(2):242-252. DOI: 10.1007/s00455-019-10012-1. View

Schlottmann F, Neto R, Herbella F, Patti M . Esophageal Achalasia: Pathophysiology, Clinical Presentation, and Diagnostic Evaluation. Am Surg. 2018; 84(4):467-472. View

El Solh A, Okada M, Bhat A, Pietrantoni C . Swallowing disorders post orotracheal intubation in the elderly. Intensive Care Med. 2003; 29(9):1451-5. DOI: 10.1007/s00134-003-1870-4. View

10.

Singhal S, Baker S, Bojczuk G, Baker R . Tube Feeding in Children. Pediatr Rev. 2017; 38(1):23-34. DOI: 10.1542/pir.2016-0096. View

11.

Mearin F, Mourelle M, Guarner F, Salas A, Moncada S, Malagelada J . Patients with achalasia lack nitric oxide synthase in the gastro-oesophageal junction. Eur J Clin Invest. 1993; 23(11):724-8. DOI: 10.1111/j.1365-2362.1993.tb01292.x. View

12.

Hadde E, Chen J . Texture and texture assessment of thickened fluids and texture-modified food for dysphagia management. J Texture Stud. 2020; 52(1):4-15. DOI: 10.1111/jtxs.12567. View

13.

Weston S, Clarke T . Determining Viscosity of Blenderized Formula: A Novel Approach Using the International Dysphagia Diet Standardisation Initiative Framework. JPEN J Parenter Enteral Nutr. 2020; 44(6):1140-1143. DOI: 10.1002/jpen.1788. View

14.

Crist J, Gidda J, Goyal R . Intramural mechanism of esophageal peristalsis: roles of cholinergic and noncholinergic nerves. Proc Natl Acad Sci U S A. 1984; 81(11):3595-9. PMC: 345556. DOI: 10.1073/pnas.81.11.3595. View

15.

Zielske J, Bohne S, Brunkhorst F, Axer H, Guntinas-Lichius O . Acute and long-term dysphagia in critically ill patients with severe sepsis: results of a prospective controlled observational study. Eur Arch Otorhinolaryngol. 2014; 271(11):3085-93. DOI: 10.1007/s00405-014-3148-6. View

16.

Cook I, Kahrilas P . AGA technical review on management of oropharyngeal dysphagia. Gastroenterology. 1999; 116(2):455-78. DOI: 10.1016/s0016-5085(99)70144-7. View

17.

Ponfick M, Linden R, Nowak D . Dysphagia--a common, transient symptom in critical illness polyneuropathy: a fiberoptic endoscopic evaluation of swallowing study*. Crit Care Med. 2014; 43(2):365-72. DOI: 10.1097/CCM.0000000000000705. View

18.

Skoretz S, Yau T, Ivanov J, Granton J, Martino R . Dysphagia and associated risk factors following extubation in cardiovascular surgical patients. Dysphagia. 2014; 29(6):647-54. DOI: 10.1007/s00455-014-9555-4. View

19.

Vivanti A, Campbell K, SUTER M, Hannan-Jones M, Hulcombe J . Contribution of thickened drinks, food and enteral and parenteral fluids to fluid intake in hospitalised patients with dysphagia. J Hum Nutr Diet. 2009; 22(2):148-55. DOI: 10.1111/j.1365-277X.2009.00944.x. View

20.

Blumenstein I, Shastri Y, Stein J . Gastroenteric tube feeding: techniques, problems and solutions. World J Gastroenterol. 2014; 20(26):8505-24. PMC: 4093701. DOI: 10.3748/wjg.v20.i26.8505. View