Log in

ADI nutritional recommendations for dysphagia

  • Position Paper
  • Published:
Mediterranean Journal of Nutrition and Metabolism

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (United Kingdom)

Instant access to the full article PDF.

References

  1. Scottish Intercollegiate Guidelines Network (2004) Management of patients with stroke. Identification and management of dysphagia. http//:www.sign.ac.uk

  2. Agency for Healthcare Research and Quality (1999) Diagnosis and treatment of swallowing disorders (dysphagia) in acute-care stroke patients. Evidence Report/Technology Assessment no. 8. http://www.ahcpr.gov/clinic/epcsums/dysphsum.htm

  3. Bloem BR, Lagaay AM, Van Beek W et al (1990) Prevalence of subjective dysphagia in community residents aged over 87. BMJ 300:721–722

    Article  CAS  Google Scholar 

  4. Calcagno P, Ruoppolo G, Grasso MG et al (2002) Dysphagia in multiple sclerosis: prevalence and prognostic factors. Acta Neurol Scand 105:10–13

    Article  Google Scholar 

  5. Daniels SK, Ballo LA, Mahoney MC, Foundas AL (2000) Clinical predictors of dysphagia and aspiration risk: outcome measures in acute stroke. Arch Phys Med Rehabil 81:1030–1033

    Article  CAS  Google Scholar 

  6. Kaiser-Jones J (1999) Dysphagia among nursing home residents. Geriatr Nurs 20:77–84

    Article  Google Scholar 

  7. Kuhlemeier KV (1994) Epidemiology and dysphagia. Dysphagia 9:209–217

    Article  CAS  Google Scholar 

  8. Reilly S, Perry A (2001) Is there an evidence base to the management of paediatric dysphagia? Asia Pac J Speech Language Hearing 6:1–8

    Google Scholar 

  9. Cherney LR, Cantieri CA, Pannel JJ (1986) Clinical evaluation of dysphagia. Rehabilitation Institute of Chicago procedure manual. Aspen System Collaboration, Maryland

    Google Scholar 

  10. Doggett DL, Turkelson CM, Coates V (2002) Recent developments in diagnosis and intervention for aspiration and dysphagia in stroke and other neuromuscular disorders. Curr Atheroscler Rep 4:311–318

    Article  Google Scholar 

  11. De Pippo KL, Holas MA, Reding MJ (1994b) The Burke dysphagia screening test: validation of its use in patients with stroke. Arch Phys Med Rehabil 75:1284–1286

    Google Scholar 

  12. Martino R, Pron G, Diamant N (2000) Screening for oropharyngeal dysphagia in stroke. Insufficient evidence for guidelines. Dysphagia 15:19–30

    CAS  Google Scholar 

  13. Perry L, Love CP (2001) Screening for dysphagia and aspiration in acute stroke: a systematic review. Dysphagia 16:7–18

    Article  CAS  Google Scholar 

  14. Perry L (2001) Screening swallowing function of patients with acute stroke. Part one: Identification, implementation and initial evaluation of a screening tool for use by nurses. J Clin Nurse 10:463–473

    Article  CAS  Google Scholar 

  15. Ding R, Logemann JA (2000) Pneumonia in stroke patients: a retrospective study. Dysphagia 15:51–57

    CAS  Google Scholar 

  16. New South Wales Community Services Commission (2001) Disability, death and the responsibility of care. NSW Government, Sydney

    Google Scholar 

  17. Gottlieb D, Kipnis M, Sister E et al (1996) Validation of the 50ml drinking test for evaluation of post stroke dysphagia. Disabil Rehabil 18:529–532

    CAS  Google Scholar 

  18. Martino R, Meissner-Fishbein B, Saville D et al (2007) Preferred practice guidelines for dysphagia. Quality improvement: preferred practice guidelines. http://www.caslpo.com/Portals/0/ppg/Dysphagia_PSG.pdf

  19. Barba R, Morin MD, Cemillan C et al (2002) Previous and incident dementia as risk factors for mortality in stroke patients. Stroke 33:1993–1998

    Article  Google Scholar 

  20. Barer DH (1989) The natural history and functional consequences of dysphagia after hemispheric stroke. J Neurol Neurosurg Psychiatry 52:236–241

    Article  CAS  Google Scholar 

  21. American Speech-Language Hearing Association (2001) Clinical indicators for instrumental assessment of dysphagia. ASHA Special interest report. http://www.asha.org/nr/rdonlyres/4fdee27b-baf5-4d06-ac4d-8d1f311c1b06/0/19446_1.pdf

  22. Ellul J, Watkins C, Barer D. Frequency, clinical course and complications of dysphagia in acute stroke, studied using a standardised bedside swallowing assessment. http://www.ncl.ac.uk/stroke-research-unit/costar/papD1.doc (Last accessed 12December 2005). Cited in: Trapl M, Enderle P, Nowotny M et al (2007) Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke 38:2948–2952

    Google Scholar 

  23. McCullough GH, Wertz RH, Rosembek JC (2001) Sensitivity and specificity of clinical bedside examination signs for detecting aspiration in adults subsequent to stroke. J Common Disord 34:55–72

    Article  CAS  Google Scholar 

  24. Linden P, Kuhlemeier KV, Patterson C (1993) The probability of correctly predicting subglottic penetration from clinical observation. Dysphagia 8:170–179

    Article  CAS  Google Scholar 

  25. Logemann JA, Veis S, Colangelo L (1999) A screening procedure for oropharyngeal dysphagia. Dysphagia 14:44–51

    Article  CAS  Google Scholar 

  26. Davies S, Taylor H, MacDonald A, Barer D (2001) An interdisciplinary approach to swallowing problems in acute stroke. Int J Lang Commun Disord 36[Suppl]:357–362

    Google Scholar 

  27. Magnus V (2001) Dysphagia training for nurses in an acute hospital setting — a pragmatic approach. Int J Lang Commun Disord 36[Suppl]:357–358

    Google Scholar 

  28. Royal College of Physicians (2004) National clinical guideline for stroke. Intercollegiate Stroke Working Party. http://www.rcplondon.ac.uk/pubs

  29. Leder SB, Karas DE (2000) Fiberoptic endoscopic evaluation of swallowing in the pediatric population. Laryngoscope 110:1132–1136

    Article  CAS  Google Scholar 

  30. Leder SB, Acton LM, Lisitano HL, Murray JT (2005) Fiberoptic endoscopic evaluation of swallowing (FEES) with and without blue-dye food. Dysphagia 20:157–162

    Article  Google Scholar 

  31. Aviv JE, Kim T, Thomson IE et al (1988) Fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST) in healthy controls. Dysphagia 13:87–92

    Article  Google Scholar 

  32. Aviv JE, Kaplan ST, Thomson JE et al (2000) The safety of flexible endoscopic evaluation of swallowing with sensory testing (FEESST): an analysis of 500 consecutive evaluations. Dysphagia 15:39–44

    CAS  Google Scholar 

  33. College of Audiologists and Speech-Language Pathologists of Ontario (2007) Instrumental assessment: Resource Requirements N. (a) Fiberoptic Endoscopic Evaluation of Swallowing (FEES*) in Practice Standards and Guidelines for Dysphagia Intervention by Speech-Language Pathologists. http://www.caslpo.com/english_site/pdfdocs/5Dysphagia_PSG_Draft_for_Member_Feedback_2007.pdf

  34. European Study Group for Dysphagia and Globus (EGDG) Guidelines for evaluation and treatment of patients with dysphagia and globus. http://www.egdg.org

  35. Stroke Prevention and Educational Awareness Diffusion (2005) Ischemic stroke: Italian guidelines on prevention and treatment, 4th Edn. Publicazioni Catel, Milan

    Google Scholar 

  36. Leder SB, Novella S, Patwa H (2004) Use of fiberoptic endoscopic evaluation of swallowing (FEES) in patients with amyotrophic lateral sclerosis. Dysphagia 19:177–181

    Article  Google Scholar 

  37. American Speech-Language Hearing Association (2004) Medical review guidelines for dysphagia. ASHA, Rockville, MD

    Google Scholar 

  38. Ajemian MS, Nirmul GB, Anderson MT et al (2001) Routine fiberoptic endoscopic evaluation of swallowing following prolonged intubation: implications for management. Arch Surg 136:434–437

    Article  CAS  Google Scholar 

  39. Royal College of Speech and Language Therapists (1999) Professional Standards Board: invasive procedures guideline. RCSLT, London

    Google Scholar 

  40. Cohen MA, Setzen M, Perlman PW et al (2003) The safety of flexible endoscopic evaluation of swallowing with sensory testing in an outpatient otolaryngology setting. Laryngoscope 113:21–24

    Article  Google Scholar 

  41. Diener HC (2005) Leitlinien fur Diagnostik und terapie in der Neurologie. Thieme, Stuttgart, pp 746–756

    Google Scholar 

  42. Langmore SE (2003) Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Curr Opin Otolaryngol Head Neck Surg 11:485–489

    Article  Google Scholar 

  43. Aviv JE (2000) Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia. Laryngoscope 110:563–574

    Article  CAS  Google Scholar 

  44. Aviv JE, Kidder TM, McCulloch T; American Academy of Otolaryngology — Head and Neck Surgery Foundation (2001) Swallowing disorders: otolaryngologic aspects. American Academy of Otolaryngology — Head and Neck Surgery Foundation, Alexandria, VA, USA

    Google Scholar 

  45. Beutler E (1994) G6PD deficiency. Blood 84:3613–3636

    CAS  Google Scholar 

  46. Malagelada JR, Bazzoli F, Elewaut A et al (2005) Practice guideline — dysphagia. S Afr Gastroenterol Rev 3:9–14

    Google Scholar 

  47. Prosiegel M (2004) Guidelines of the German Society of Neurology (DGN) on neurogenic dysphagia. European Study Group for Dysphagia and Globus. http://www.egdg.org

  48. Pikus L, Levine MS, Yang YX et al (2003) Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia. AJR Am J Roentgenol 180:1613–1616

    Google Scholar 

  49. Nitenberg G, Raynard B (2000) Nutritional support of the cancer patient: issues and dilemmas. Crit Rev Oncol Hematol 34:137–168

    Article  CAS  Google Scholar 

  50. Arends J, Bodoky G, Bozzetti et al; ESPEN (European Society for Parenteral and Enteral Nutrition) (2006) ESPEN guidelines on enteral nutrition: non-surgical oncology. Clin Nutr 25:245–259

    Article  CAS  Google Scholar 

  51. Barrera R (2002) Nutritional support in cancer patients. JPEN J Parenter Enteral Nutr 26:S63–S71

    Article  Google Scholar 

  52. Wordsworth H, Ashton J (2000) Head and neck cancer and upper gastrointestinal cancer. In: Shaw C (ed) Current thinking: nutrition and cancer. Novartis Consumer Health, Horsham, pp 13–24

    Google Scholar 

  53. Travalca Cupillo B, Sukkar S, Spadola Bisetti M (2001) disfagia. eat. Quando la deglutizione diventa difficile. Gli aspetti nutrizionali. Omega Edizioni, Turin, pp 104–140

    Google Scholar 

  54. Arnold C, Richter MP (1989) The effect of oral nutritional supplements on head and neck cancer. Int J Radiat Oncol Biol Phys 16:1595–1599

    CAS  Google Scholar 

  55. Elia M, van Bokhorst-de van der Schueren MAE, Garvey J et al (2006) Enteral (oral or tube administration) nutritional support and eicosapentaenoic acid in patients with cancer: a systematic review. Int J Oncol 28:5–23

    CAS  Google Scholar 

  56. Isenring EA, Capra S, Bauer JD (2004) Nutrition intervention is beneficial in oncology outpatients receiving radiotherapy to the gastrointestinal or head and neck area. Br J Cancer 91:447–452

    Article  CAS  Google Scholar 

  57. Nayel H, el-Ghoneimy E, el-Haddad S (1992) Impact of nutritional supplementation on treatment delay and morbidity in patients with head and neck tumors treated with irradiation. Nutrition 8:13–18

    CAS  Google Scholar 

  58. Bozzetti F, Cozzaglio L, Gavazzi C et al (1998) Nutritional support in patients with cancer of the esophagus: impact on nutritional status, patient compliance to therapy and survival. Tumori 84:681–686

    CAS  Google Scholar 

  59. Lees J (1997) Nasogastric and percutaneous endoscopic gastrostomy feeding in head and neck cancer patients receiving radiotherapy treatment at a regional oncology unit: a two year study. Eur J Cancer Care 6:45–49

    Article  CAS  Google Scholar 

  60. Thiel HJ, Fietkau R, Sauer R (1988) Malnutrition and the role of nutritional support for radiation therapy patients. Rec Res Cancer Res 108:205–226

    CAS  Google Scholar 

  61. Löser C, Aschl G, Hébuterne X et al (2005) ESPEN guidelines on artificial enteral nutrition — percutaneous endoscopic gastrostomy (PEG). Clin Nutr 24:848–861

    Article  Google Scholar 

  62. American Society of Parenteral and Enteral Nutrition (ASPEN) Board of Directors (2002) Access for administration of nutrition support. JPEN J Parenter Enteral Nutr 26:33SA–41SA

    Google Scholar 

  63. Italian Society of Parenteral and Enteral Nutrition (SINPE) (2002) SINPE guidelines for artificial nutrition in hospital. Access for enteral nutrition. Riv Ital Nutr Parenter Enter 20:S19–S20

    Google Scholar 

  64. Lee JH, Machtay M, Unger LD et al (1998) Prophylactic gastrostomy tubes in patients undergoing intensive irradiation for cancer of the head and neck. Arch Otolaryngol Head Neck Surg 124:871–875

    CAS  Google Scholar 

  65. Magne N, Marcy PY, Foa C et al (2001) Comparison between nasogastric tube feeding and percutaneous fluoroscopic gastrostomy in advanced head and neck cancer patients. Eur Arch Otorhinolaryngol 258:89–92

    Article  CAS  Google Scholar 

  66. Beaver ME, Matheny KE, Roberts DB, Myers JN (2001) Predictors of weight loss during radiation therapy. Otolaryngol Head Neck Surg 125:645–648

    Article  CAS  Google Scholar 

  67. Scolapio JS, Spangler PR, Romano MM et al (2001) Prophylactic placement of gastrostomy feeding tubes before radiotherapy in patients with head and neck cancer: is it worthwhile? J Clin Gastroenterol 33:215–217

    Article  CAS  Google Scholar 

  68. Politzer Shronts E, Fish JA, Pesce-Hammond K (1998) Nutrition assessment. In: Merrit RJ (ed) The ASPEN nutrition support practice manual. American Society for Parenteral and Enteral Nutrition, Silver Spring, MD, pp 1–17

    Google Scholar 

  69. Brody R (1999) Nutrition issues in dysphagia: identification, management and the role of the dietitian. Nutr Clin Pract 14:S47–S51

    Google Scholar 

  70. Wardley AM, Jayson GC, Swindell R et al (2000) Prospective evaluation of oral mucositis in patients receiving myeloablative conditioning regimens and haemopoietic progenitor rescue. Br J Haematol 110:292–299

    Article  CAS  Google Scholar 

  71. Stuart RK, Sensenbrenner LL (1979) Adverse effects of nutritional deprivation on transplanted hematopoietic cells. Exp Hematol 7:435–442

    CAS  Google Scholar 

  72. Bistrian BR, Blackburn GL, Scrimshaw NS, Flatt JP (1975) Cellular immunity in semistarved states in hospitalized adults. Am J Clin Nutr 28:1148–1155

    CAS  Google Scholar 

  73. Papadopoulou A, Lloyd DR, Williams MD et al (1996) Gastrointestinal and nutritional sequelae of bone marrow transplantation. Arch Dis Child 75:208–213

    Article  CAS  Google Scholar 

  74. Weisdorf SA, Lysne J, Wind D et al (1987) Positive effect of prophylactic total parenteral nutrition on long-term outcome of bone marrow transplantation. Transplantation 43:833–838

    Article  CAS  Google Scholar 

  75. Szeluga DJ, Stuart RK, Brookmeyer R et al (1987) Nutritional support of bone marrow transplant recipients: a prospective, randomised clinical trial comparing total parenteral nutrition to an enteral feeding program. Cancer Res 47:3309–3316

    CAS  Google Scholar 

  76. Papadopoulou A, Williams MD, Darbyshire PJ, Booth IW (1998) Nutritional support in children undergoing bone marrow transplantation. Clin Nutr 17:57–63

    Article  CAS  Google Scholar 

  77. Charuhas PM, Fosberg KL, Bruemmer B et al (1997) A double-blind randomized trial comparing outpatient parenteral nutrition with intravenous hydration: effect on resumption of oral intake after marrow transplantation. JPEN J Parenter Enteral Nutr 21:157–161

    Article  CAS  Google Scholar 

  78. Papadopoulou A, MacDonald A, Williams MD et al (1997) Enteral nutrition after bone marrow transplantation. Arch Dis Child 77:131–136

    Article  CAS  Google Scholar 

  79. Steward W, Hunter A, O’Byrne K, Snowden J (2001) Chemotherapy and haemopoietic stem cell transplantation. In: Nightingale J () Intestinal failure. Greenwich Medical Media, Cambridge, pp 65–86

    Google Scholar 

  80. Weisdorf S, Hofland C, Sharp HL et al (1984) Total parenteral nutrition in bone marrow transplantation: a clinical evaluation. J Pediatr Gastroenterol Nutr 3:95–100

    CAS  Google Scholar 

  81. Hutchinson ML, Clemans GW, Springmeyer SC, Flournoy N (1984) Energy expenditure estimation in recipients of marrow transplants. Cancer 54:1734–1738

    Article  CAS  Google Scholar 

  82. Cunningham BA, Lenssen P, Aker SN et al (1983) Nutritional considerations during marrow transplantation. Nurs Clin North Am 18:585–596

    CAS  Google Scholar 

  83. Kaproth PL, Barber JR, Moore R, Shronts EP (1990) Parenteral nutrition in a bone marrow transplant patient with hepatic complications. Nutr Clin Pract 5:18–22

    Article  CAS  Google Scholar 

  84. Driedger L, Burstall CD (1987) Bone marrow transplantation: dietitians’ experience and perspective. J Am Diet Assoc 87:1387–1388

    CAS  Google Scholar 

  85. Karatzas T, Scopa S, Tsoni I et al (1991) Effect of glutamine on intestinal mucosal integrity and bacterial translocation after abdominal radiation. Clin Nutr 10:199–205

    Article  CAS  Google Scholar 

  86. Murray SM, Pindoria S (2002) Nutrition support for bone marrow transplant patients. Cochrane Database of Systematic Reviews, Issue 2, Art. no. CD002920

  87. Biffi R, Gavazzi G, Muscaritoli M et al (2004) GLUTAMITALY 2003: Consensus Paper SINPE on GLN in adult artificial nutrition. Riv Ital Nutr Parenter Enter 22:115–133

    Google Scholar 

  88. Kondrup J, Allison P, Elia M et al (2003) ESPEN guidelines for nutrition screening 2002. Clin Nutr 22:415–421

    Article  CAS  Google Scholar 

  89. British Dietetic Association and Royal College of Speech and Language Therapists (2002) National descriptors for texture modification in adults. http://www.bda.uk.com/Downloads/dysphagia.pdf

  90. Dennis MS, Lewis SC, Warlow C; FOOD Trial Collaboration (2005) Routine oral nutritional supplementation for stroke patients in hospital (FOOD): a multicentre randomised controlled trial. Lancet 365:755–763

    Article  CAS  Google Scholar 

  91. Clavé P, de Kraa M, Arreola V et al (2006) The effect of bolus viscosity on swallowing function in neurogenic dysphagia. Aliment Pharmacol Ther 24:1385–1394

    Article  Google Scholar 

  92. Whelan K (2001) Inadequate fluid intakes in dysphagic acute stroke. Clin Nutr 20:423–428

    Article  CAS  Google Scholar 

  93. Dennis MS, Lewis SC, Warlow C; FOOD trial collaboration (2005) Effect of timing and method of enteral tube feeding for dysphagic stroke patients (FOOD): a multicentre randomised controlled trial. Lancet 365:764–772

    Article  CAS  Google Scholar 

  94. Ramritu P, Finlayson K, Mitchell A, Croft G (2000) Identification and nursing management of dysphagia in individuals with neurological impairment. Systematic review no. 8. The Joanna Briggs Institute, Royal Adelaide Hospital, Adelaide, Australia

    Google Scholar 

  95. Calcagno P, Ruoppolo G, Grasso MG et al (2002) Dysphagia in multiple sclerosis - prevalence and prognostic factors. Acta Neurol Scand 105:40–43

    Article  CAS  Google Scholar 

  96. Thomas FJ, Wiles CM (1999) Dysphagia and nutritional status in multiple sclerosis. J Neurol 246:677–682

    Article  CAS  Google Scholar 

  97. Payne A (2001) Nutrition and diet in the clinical management of multiple sclerosis. J Hum Nutr Diet 14:349–357

    Article  CAS  Google Scholar 

  98. Deane KH, Whurr R, Clarke CE et al (2001) Non-pharmacological therapies for dysphagia in Parkinson’s disease. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD002861. DOI: 10.1002/14651858.CD002816

  99. Bilney B, Morris ME, Perry A (2003) Effectiveness of physiotherapy, occupational therapy, and speech pathology for people with Huntington’s disease: a systematic review. Neurorehabil Neural Repair 17:12–24

    Article  Google Scholar 

  100. Cook IJ, Kahrilas PJ (1999) AGA technical review on management of oropharyngeal dysphagia. Gastroenterology 116:455–478

    Article  CAS  Google Scholar 

  101. El-Serag HB, Satia JA, Rabeneck L (2005) Dietary intake and the risk of gastro-oesophageal reflux disease: a cross sectional study in volunteers. Gut 54:11–17

    Article  CAS  Google Scholar 

  102. Miller RG, Rosenberg JA, Gelinas DF et al (1999) Practice parameter: the care of the patient with amyotrophic lateral sclerosis (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology; ALS Practice Parameters Task Force. Neurology 52:1311–1323

    CAS  Google Scholar 

  103. Toigo G, Zamboni M, Sergi G et al (2005) Linee guida pr la nutrizione artificiale nel paziente anziano. G Gerontol LIII:603–616

    Google Scholar 

  104. Langmore SE, Kasarskis EJ, Manca ML, Olney RK (2006) Enteral tube feeding for amyotrophic lateral sclerosis/motor neuron disease. Cochrane Database of Systematic Reviews. Issue 4. Art. No.: CD004030. DOI: 10.1002/14651858. CD004030.pub2

  105. Chouinard J (2000) Dysphagia in Alzheimer disease: a review. J Nutr Health Aging 4:214–217

    CAS  Google Scholar 

  106. Drossman DA, Li Z, Andruzzi E et al (1993) U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci 38:1569–1580

    Article  CAS  Google Scholar 

  107. Dalton CB, Castell DO, Hewson EG et al (1991) Diffuse esophageal spasm: a rare motility disorder not characterized by high-amplitude contractions. Dig Dis Sci 36:1025–1028

    Article  CAS  Google Scholar 

  108. Rey E, Elola-Olaso CM, Rodriguez-Aralejo F et al (2006) Prevalence of atypical symptoms and their associations with typical symptoms of gastroesophageal reflux in Spain. Eur J Gastroenterol Hepatol 18:969–975

    Article  Google Scholar 

  109. Castell DO (1975) Diet and the lower oesophageal sphincter. Am J Clin Nutr 28:1296–1298

    CAS  Google Scholar 

  110. Yan BM, Shaffer EA (2006) Eosinophilic esophagitis: a newly established cause of dysphagia. World J Gastroenterol 12:2328–2334

    Google Scholar 

  111. American Psychiatric Association (2002) DSM-IV-TR. Diagnostic and statistical manual of mental disorders. ICD-10/ICD-9-CM. American Psychiatric Association, Arlington, VA

    Google Scholar 

  112. Mann G, Hankey GJ, Cameron D (2000) Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis 10:380–386

    Article  CAS  Google Scholar 

  113. Martino R, Foley N, Bhogal S et al (2005) Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke 36:2756–2763

    Article  Google Scholar 

  114. Smithard DG, Smeeton NC, Wolfe CD (2007) Long-term outcome after stroke: does dysphagia matter? Age Ageing 36:90–94

    Article  CAS  Google Scholar 

  115. Sukkar SG, Ragni G, Ceravolo MG et al (2005) Predictive factors of neurogenic dysphagia in post ictus. ADI-SIN Study. ADI Magazine no. 4, p 635

  116. Wojner AW, Alexandrov AV (2000) Predictors of tube feeding in acute stroke patients with dysphagia. AACN Clin Issues 11:531–540

    Article  CAS  Google Scholar 

  117. Akpunonu BE, Mutgi AB, Roberts C et al (1997) Modified barium swallow does not affect how often PEGs are placed after stroke. J Clin Gastroenterol 24:74–78

    Article  CAS  Google Scholar 

  118. Mann G, Hankey GJ, Cameron D (1999) Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke 30:744–748

    CAS  Google Scholar 

  119. Terre R, Mearin F (2006) Oropharyngeal dysphagia after the acute phase of stroke: predictors of aspiration. Neurogastroenterol Motil 18:200–205

    Article  CAS  Google Scholar 

  120. Broadley S, Croser D, Cottrell J et al (2003) Predictors of prolonged dysphagia following acute stroke. J Clin Neurosci 10:300–305

    Article  CAS  Google Scholar 

  121. Dziewas R, Ritter M, Schilling M et al (2004) Pneumonia in acute stroke patients fed by nasogastric tube. J Neurol Neurosurg Psychiatry 75:852–856

    Article  CAS  Google Scholar 

  122. Gandolfo C, Balestrino M, Del Sette M et al (2007) PEG in dysphagia due to cerebrovascular disease. A 10-year-long experience. Riv Ital Nutr Parenter Enter 25:40–43

    Google Scholar 

  123. Singh S, Hamdy S (2006) Dysphagia in stroke patients. Postgrad Med J 82:383–391

    Article  CAS  Google Scholar 

  124. Hussain A, Woolfrey S, Massey J et al (1996) Percutaneous endoscopic gastrostomy. Postgrad Med J 72:581–585

    Article  CAS  Google Scholar 

  125. Ickenstein GW (2005) Predictors of survival after severe dysphagic stroke. J Neurol 252:1510–1516

    Article  Google Scholar 

  126. Schroeder MF, Daniels SK, McClain M et al (2006) Clinical and cognitive predictors of swallowing recovery in stroke. J Rehabil Res Dev 43:301–310

    Article  Google Scholar 

  127. Smithard DG, O’Neill PA, England R et al (1997) The natural history of dysphagia following stroke. Dysphagia 12:188–193

    Article  CAS  Google Scholar 

  128. Smithard DG, O’Neill PA, Parks C, Morris J (1996) Complications and outcome after acute stroke: does dysphagia matter? Stroke 26:1–5

    Google Scholar 

  129. Teasell RW, Back D, McRrae M (1994) Prevalence and recovery of aspiration post stroke. A retrospective analysis. Dysphagia 9:35–59

    Article  CAS  Google Scholar 

  130. Broadley S, Cheek A, Salonikis S et al (2005) Predicting prolonged dysphagia in acute stroke: the Royal Adelaide Prognostic Index for Dysphagic Stroke (RAPIDS). Dysphagia 20:303–310

    Article  Google Scholar 

  131. Bulow M, Olsson R, Ekberg O (2005) Do dysphagic patients with an absent pharyngeal swallow have a shorter survival than dysphagic patients with pharyngeal swallow? Prognostic importance of a therapeutic videoradiographic swallowing study. Acta Radiol 46:126–131

    Article  CAS  Google Scholar 

  132. Hamdy S, Aziz Q, Rothwell JC et al (1998) Recovery of swallowing after dysphagic stroke relates to functional reorganization in the intact motor cortex. Gastroenterology 115:1104–1112

    Article  CAS  Google Scholar 

  133. Han DS, Chang YC, Lu Ch, Wang TG (2005) Comparison of disordered swallowing patterns in patients with recurrent cortical/subcortical stroke and first-time brainstem stroke. J Rehabil Med 37:189–191

    Google Scholar 

  134. Horner J, Braser SR, Massey EW (1993) Aspiration in bilateral stroke patients: a validation study. Neurology 43:430–433

    CAS  Google Scholar 

  135. James A, Kapur K, Hawthorne AB (1998) Long-term outcome of percutaneous endoscopic gastrostomy feeding in patients with dysphagic stroke. Age Ageing 27:671–676

    Article  CAS  Google Scholar 

  136. Johnson ER, McKenzie SW, Sievers A (1993) Aspiration pneumonia in stroke. Arch Phys Med Rehabil 74:973–976

    CAS  Google Scholar 

  137. Leff B, Cheuvront N, Russell W (1994) Discontinuing feeding tubes in a community nursing home. Gerontologist 34:130–133

    CAS  Google Scholar 

  138. Miller AJ (1986) Neurophysiological basis of swallowing. Dysphagia 1:91–100

    Article  Google Scholar 

  139. Mosier K, Patel R, Liu WC et al (1999) Cortical representation of swallowing in normal adults: functional implications. Laryngoscope 109:1417–1423

    Article  CAS  Google Scholar 

  140. Prosiegel M, Heintze M, Wagner-Sonntag E, et al (2002) Deglutition disorders in neurological patients. A prospective study of diagnosis pattern of impairment therapy and outcome. Nervenarzt 73:364–370

    Article  CAS  Google Scholar 

  141. Rehman HU, Knox J (2000) There is a need for a regular review of swallow ability in patients after PEG insertion to identify patients with delayed recovery of swallowing. Dysphagia 15:48

    CAS  Google Scholar 

  142. Buchholz AC (1998) Weaning patients with dysphagia from tube feeding to oral nutrition: a proposed algorithm. Can J Dietetic Pract Res 59:208–214

    Google Scholar 

  143. Denk DM, Bigenzahn W (2005) Management of oropharyngeal dysphagia: current status. HNO 53:661–672

    Article  Google Scholar 

  144. Logemann JA (1990) Factors affecting ability to resume oral nutrition in the oropharyngeal dysphagic individual. Dysphagia 4:202–208

    Article  CAS  Google Scholar 

  145. Lucas C, Rodgers H (1998) Variation in the management of dysphagia after stroke: does STL make a difference? Int J Lang Commun Disord 33[Suppl]:284–289

    Article  Google Scholar 

  146. Mari F, Matei M, Ceravolo MG et al (1997) Predictive value of clinical indices in detecting aspiration in patients with neurological disorders. J Neurol Neurosurg Psychiatry 63:456–460

    Article  CAS  Google Scholar 

  147. Rehman HU, Knox J (2000) There is a need for a regular review of swallowing ability in patients after PEG insertion to identify patients with delayed recovery of swallowing. Dysphagia 15(1):48

    CAS  Google Scholar 

  148. Bath PMW, Bath-Hextall FJ, Smithard DG (1999) Interventions for dysphagia in acute stroke. Cochrane Database Systematic Rev (4):CD000323

  149. Carnaby G, Hankey GJ, Pizzi J (2006) Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol 5:31–37

    Article  Google Scholar 

  150. Bisch EM, Logemann JA, Rademaker AW et al (1994) Pharyngeal effects of bolus volume, viscosity, and temperature in patients with dysphagia resulting from neurologic impairment and in normal subjects. J Speech Hear Res 37:1041–1059

    CAS  Google Scholar 

  151. DePippo KL, Holas MA, Reding MJ et al (1994) Dysphagia therapy following stroke: a controlled trial. Neurology 44:1655–1660

    CAS  Google Scholar 

  152. Garon BR, Engle M, Ormiston C (1997) A randomised control study to determine the effects of unlimited oral intake of water in patients with identified aspiration. J Neurol Rehabil 11:139–148

    Google Scholar 

  153. Logemann JA (1996) Screening, diagnosis and management of neurogenic dysphagia. Semin Neurol 16:319–327

    Article  CAS  Google Scholar 

  154. Neumann S, Bartolome G, Buchholz D, Prosiegel M (1995) Swallowing therapy of neurologic patients: correlation of outcome with pretreatment variables and therapeutic methods. Dysphagia 10:1–5

    Article  CAS  Google Scholar 

  155. Odderson IR, Keaton JC, McKenna BS (1995) Swallow management in patients on an acute stroke pathway: quality is cost effective. Arch Phys Med Rehabil 76:1130–1133

    Article  CAS  Google Scholar 

  156. Raut VV, McKee GJ, Johnston BT (2001) Effect of bolus consistency on swallowing - does altering consistency help? Eur Arch Otorhinolaryngol 258:49–53

    Article  CAS  Google Scholar 

  157. Rosenvinge SK (2005) Improving care for patients with dysphagia. Age Ageing 34:587–593

    Article  Google Scholar 

  158. Ruoppolo G, Virdia P, Romualdi P et al (1992) Rehabilitation of oro-pharyngeal dysphagia of neurogenic etiology using radiological examination: preliminary results. Acta Otorhinolaryngol 12[Suppl 36]:1–27

    Google Scholar 

  159. Schindler O, Grosso E, Tiddia C et al (2003) Swallowing disorders: management data. Acta Otorhinolaryngol 23:180–184

    CAS  Google Scholar 

  160. Smith Hammond C, Goldstein LB (2006) Cough and aspiration of food and liquids due to oral-pharyngeal dysphagia: ACCP evidence-based clinical practice guidelines. Chest 129[Suppl 1]:154S–168S

    Article  Google Scholar 

  161. Finestone HM, Foley NC, Woodbury MG, Green-Finestone L (2001) Quantifying fluid intake in dysphagic stroke patients: a preliminary comparison of oral and nonoral strategies. Arch Phys Med Rehabil 82:1744–1746

    Article  CAS  Google Scholar 

  162. Goulding R, Bakheit AM (2000) Evaluation of the benefits of monitoring fluid thickness in the dietary management of dysphagic stroke patients. Clin Rehabil 14:119–124

    Article  CAS  Google Scholar 

  163. Steele CM, Van Lieshout PH (2004) Influence of bolus consistency on lingual behaviors in sequential swallowing. Dysphagia 19:192–206

    Article  Google Scholar 

  164. Crary MA, Carnaby GDM, Groher ME et al (2004) Functional benefits of dysphagia therapy using adjunctive sEMG biofeedback. Dysphagia 19:160–164

    Google Scholar 

  165. Fraser C, Power M, Hamdy S et al (2002) Driving plasticity in human adult motor cortex is associated with improved motor function after brain injury. Neuron 34:831–840

    Article  CAS  Google Scholar 

  166. Huckabee ML, Cannito MP (1999) Outcomes of swallowing rehabilitation in chronic brainstem dysphagia: a retrospective evaluation. Dysphagia 14:93–109

    Article  CAS  Google Scholar 

  167. Kahrilas PJ, Logemann JA, Krugler C et al (1991) Volitional augmentation of upper esophageal sphincter opening during swallowing. Am J Physiol 260:G450–456

    CAS  Google Scholar 

  168. Lazarra G, Lazarus C, Logemann JA (1986) Impact of thermal stimulation on the triggering of the swallow reflex. Dysphagia 1:73–77

    Article  Google Scholar 

  169. Logemann JA, Kahrilas PJ, Kobara M et al (1989) The benefit of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil 70:767–771

    CAS  Google Scholar 

  170. Shaker R, Easterling C, Kern M et al (2002) Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology 122:1314–1321

    Article  Google Scholar 

  171. Shanahan TK, Logemann JA, Rademaker AW et al (1993) Chindown posture effect on aspiration in dysphagic patients. Arch Phys Med Rehabil 74:736–739

    Article  CAS  Google Scholar 

  172. Arai T, Yasuda Y, Takaya T et al (1998) ACE inhibitors and symptomless dysphagia. Lancet 352:115–116

    Article  CAS  Google Scholar 

  173. Perez I, Smithard DG, Davies H et al (1998) Pharmacological treatment of dysphagia in stroke. Dysphagia 13:12–16

    Article  CAS  Google Scholar 

  174. Beck AM, Balknäs UN, Fürst P et al; Council of Europe (the Committee of Experts on Nutrition, Food Safety and Consumer Health of the Partial Agreement in the Social and Public Health Field) (2001) Food and nutritional care in hospitals: how to prevent undernutrition — report and guidelines from the Council of Europe. Clin Nutr 20:455–460

    Article  CAS  Google Scholar 

  175. Sukkar S, Machello N, Gradaschi R et al (2006) Disfagia. In: Binetti P, Marcelli M, Baisi R (eds) Manuale di nutrizione clinica e scienze dietetiche applicate. Società Ed. Universo, Rome, pp 145–153

    Google Scholar 

  176. Cairella G, Berni Canani R (2006) Malnutrizione. In: Binetti P, Marcelli M, Baisi R (eds) Manuale di nutrizione clinica e scienze dietetiche applicate. Società Ed. Universo, Rome, pp 21–40

    Google Scholar 

  177. Van Bokhorst-de van der Schuer, van Leeuwen PA, Kuik DJ et al (1999) The impact of nutritional status on the prognoses of patients with advanced head and neck cancer. Cancer 86:519–527

    Article  CAS  Google Scholar 

  178. Meuric J, Garabige V, Blanc-Vincent MP et al (1999) Good clinical practice in nutritional management of head and neck cancer patients. Bull Cancer 86:843–854

    CAS  Google Scholar 

  179. Weimann A, Braga M, Harsanyi L et al; DGEM (German Society for Nutritional Medicine); Jauch KW, Kemen M, Hiesmayr JM et al; ESPEN (European Society for Parenteral and Enteral Nutrition) (2006) ESPEN Guidelines on Enteral Nutrition: surgery including organ transplantation. Clin Nutr 25:224–244

    Article  CAS  Google Scholar 

  180. Von Meyenfeldt MF, Meijerink WJ, Rouflart MM et al (1992) Perioperative nutritional support: a randomised clinical trial. Clin Nutr 11:180–186

    Article  Google Scholar 

  181. Bruning PF, Halling A, Hilgers FJ et al (1988) Postoperative nasogastric tube feeding in patients with head and neck cancer: a prospective assessment of nutritional status and well-being. Eur J Cancer Clin Oncol 24:181–188

    Article  CAS  Google Scholar 

  182. Duncan GG, Epstein JB, Tu D et al (2005) National Cancer Institute of Canada Clinical Trials Group. Quality of life, mucositis, and xerostomia from radiotherapy for head and neck cancers: a report from the NCIC CTG HN2 randomized trial of an antimicrobial lozenge to prevent mucositis. Head Neck 27:421–428

    Article  Google Scholar 

  183. Epstein JB, Stevenson-Moore P, Jackson S et al (1989) Prevention of oral mucositis in radiation therapy: a controlled study with benzydamine hydrochloride rinse. Int J Radiat Oncol Biol Phys 16:1571–1575

    CAS  Google Scholar 

  184. Smit M, Balm AJ, Hilgers FJ, Tan IB (2001) Pain as sign of recurrent disease in head and neck squamous cell carcinoma. Head Neck 23:372–375

    Article  CAS  Google Scholar 

  185. Boysen M, Lovdal O, Tausjo J, Winther F (1992) The value of follow-up in patients treated for squamous cell carcinoma of the head and neck. Eur J Cancer 28:426–430

    Article  CAS  Google Scholar 

  186. Nguyen NP, Sallah S, Karlsson U, Antoine JE (2002) Combined chemotherapy and radiation therapy for head and neck malignancies: quality of life issues. Cancer 94:1131–1141

    Article  Google Scholar 

  187. Promoter Comittee of the Italian Speech Therapists’ Federation (2007) Management guidelines of dysphagia in adults in phoniatry and speech therapy. http://www.alplogopedia.it/lgbre ve.pdf

  188. Eisbruch A, Lyden T, Bradford CR et al (2002) Objective assessment of swallowing dysfunction and aspiration after radiation concurrent with chemotherapy for head-and-neck cancer. Int J Radiat Oncol Biol Phys 53:23–28

    Google Scholar 

  189. Kreuzer SH, Schima W, Schober E et al (2000) Complications after laryngeal surgery: videofluoroscopic evaluation of 120 patients. Clin Radiol 55:775–781

    Article  CAS  Google Scholar 

  190. de Luis DA, Aller R, Izaola O et al (2002) Postsurgery enteral nutrition in head and neck cancer patients. Eur J Clin Nutr 56:1126–1129

    Article  Google Scholar 

  191. Stroud M, Duncan H, Nightingale J; British Society of Gastroenterology (2003) Guidelines for enteral feeding in adult hospital patients. Gut 52[Suppl 7]:vii1–vii12

    Google Scholar 

  192. Furia CL, Kowalski LP, Latorre MR et al (2001) Speech intelligibility after glossectomy and speech rehabilitation. Arch Otolaryngol Head Neck Surg 127:877–883

    CAS  Google Scholar 

  193. Graville D, Gross N, Andersen P et al (1999) The long-term indwelling tracheoesophageal prosthesis for alaryngeal voice rehabilitation. Arch Otolaryngol Head Neck Surg 125:288–292

    CAS  Google Scholar 

  194. Hammerlid E, Silander E, Hornestam L, Sullivan M (2001) Health-related quality of life three years after diagnosis of head and neck cancer — a longitudinal study. Head Neck 23:113–125

    Article  CAS  Google Scholar 

  195. Hammerlid E, Wirblad B, Sandin C et al (1998) Malnutrition and food intake in relation to quality of life in head and neck cancer patients. Head Neck 20:540–548

    Article  CAS  Google Scholar 

  196. Hénon H, Godefroy O, Leys D et al (1995) Early predictors of death and disability after acute cerebral ischemic events. Stroke 26:392–398

    Google Scholar 

  197. Chiò A, DiVito N (2001) Disfagie neurogene. In: Schindler O (ed) Deglutologia. Omega edition, Turin

    Google Scholar 

  198. Schmidt J, Holas M, Halvorson K, Reding M (1994) Videofluoroscopic evidence of aspiration predicts pneumonia and death but not dehydration following stroke. Dysphagia 9:7–11

    Article  CAS  Google Scholar 

  199. Evidence-based Medicine Group (2002) Guideline for ischemic stroke. Hospital San Giovanni Battista, Torino. http://www.cpo.it/lineeguida/lgictusischemico.pdf

    Google Scholar 

  200. Pacifici A, De Blasio E (2002) Guidelines for a Rianimation Centre. In: Nutrizione Parenterale ed Enterale, Antonio Delfino Editor, Rome

    Google Scholar 

  201. Sergio Z, Franco M (1998) Nutrizione enterale ruolo infermieristico e gestione. Act Congress ANIARTI. http://www.aninpe.it/allegati/zava.doc

  202. Working Group ASSR (Agency for the Regional Sanitary Services) (2006) Guidelines for home parenteral and enteral nutrition. http://www.sinpe.it/Linee_Guida_NAD_ministeriali.pdf

  203. Rosenbek JC, Robbins JA, Roecker EB et al (1996) A penetration-aspiration scale. Dysphagia 11:93–98

    Article  CAS  Google Scholar 

  204. McHorney CA, Robbins J, Lomax K et al (2002) The SWALQOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adult: III. Documentation of reliability and validity. Dysphagia 17:97–114

    Article  Google Scholar 

  205. Hannig C, Wuttge-Hannig A (1999) Radiological diagnosis. In: Dysphagia. Urban & Fischer, Munich

    Google Scholar 

  206. Scottish Intercollegiate Guidelines Network (1997) Management of patients with stroke. http://www.sign.ac.uk/pdf/sign64.pdf

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S.G. Sukkar.

About this article

Cite this article

Barbiera, F., Bosetti, A., Ceravolo, M. et al. ADI nutritional recommendations for dysphagia. Mediterr J Nutr Metab 2, 49–80 (2009). https://doi.org/10.1007/s12349-009-0043-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12349-009-0043-9

Keywords

Navigation