Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Mar 25, 2016; 8(6): 288-294
Published online Mar 25, 2016. doi: 10.4253/wjge.v8.i6.288
Published online Mar 25, 2016. doi: 10.4253/wjge.v8.i6.288
Determination of the cut-off score of an endoscopic scoring method to predict whether elderly patients with dysphagia can eat pureed diets
Torao Sakamoto, Department of Rehabilitation, Showa Inan General Hospital, Komagane 399-4117, Japan
Akira Horiuchi, Toshiyuki Makino, Masashi Kajiyama, Naoki Tanaka, Digestive Disease Center, Showa Inan General Hospital, Komagane 399-4117, Japan
Masamitsu Hyodo, Department of Otolaryngology, Head and Neck Surgery, Kochi Medical School, Kochi Prefecture 783-8505, Japan
Author contributions: All the authors contributed to this paper.
Institutional review board statement: The study was reviewed and approved for publication by our Institutional Reviewer.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at horiuchi.akira@sihp.jp.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Akira Horiuchi, MD, Digestive Disease Center, Showa Inan General Hospital, 3230 Akaho, Komagane 399-4117, Japan. horiuchi.akira@sihp.jp
Telephone: +81-265-822121 Fax: +81-265-822118
Received: October 26, 2015
Peer-review started: October 27, 2015
First decision: December 11, 2015
Revised: December 21, 2015
Accepted: January 16, 2016
Article in press: January 19, 2016
Published online: March 25, 2016
Peer-review started: October 27, 2015
First decision: December 11, 2015
Revised: December 21, 2015
Accepted: January 16, 2016
Article in press: January 19, 2016
Published online: March 25, 2016
Core Tip
Core tip: Predicting successful oral intake in elderly patients with dysphagia remains a challenge. The scoring method for endoscopic swallowing evaluation was based on final score (from 0 to 12) using four parameters; (1) the salivary pooling in the vallecula and piriform sinuses; (2) the response of glottal closure reflex induced by touching the epiglottis with the endoscope; (3) the location of the bolus at the time of swallow onset assessed by “white-out” after the swallowing of test jelly; and (4) the extent of pharyngeal clearance after test jelly is swallowed. A total score of 7 or less during endoscopic swallowing evaluation reliably predicted the ability to eat pureed diets.