Copyright
©The Author(s) 2016.
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
Table 1 Hyodo-Komagane score
A: Salivary pooling in vallecula and piriform sinuses | |
0 | No pooling |
1 | Pooling at the only vallecula |
2 | Pooling in vallecula and piriform sinuses and no penetration1 into larynx |
3 | Pooling in vallecula and piriform sinuses and penetration into larynx |
B: The response of glottal closure reflex induced by touching the epiglottis with the endoscope | |
0 | Marked reflex by one touching |
1 | Slow and/or weak reflex by one touching |
2 | Reflex by two or three touchings |
3 | No refex despite three touchings |
C: The location of the bolus at the time of swallow onset assessed by "white-out"2 following swallowing of test jelly | |
0 | Pharyngeal |
1 | Vallecula |
2 | Piriform sinuses |
3 | No swallowing |
D: The extent of pharyngeal clearance after swallowing of test jelly | |
0 | No residues |
1 | Pharyngeal residues remain, but are absent after swallowing is attempted two or three times |
2 | Pharyngeal residues remain, but do not penetrate into larynx |
3 | Pharyngeal residues remain and penetrate into larynx |
Table 2 Demographic and clinical data in 178 patients who underwent endoscopic evaluation of swallowing
n (%) | |
Gender male, female | 113 (63), 65 (37) |
Mean age range (yr) | 83 (66-98) |
65-69 | 11 (6) |
70-79 | 43 (24) |
80-89 | 88 (50) |
90 and over | 36 (20) |
Comorbid diseases | |
CVD | 68 (38) |
Aspiration pneumonia | 57 (32) |
Neuromuscular disease | 35 (20) |
Others | 18 (10) |
Table 3 Association between Hyodo-Komagane score and oral intake of pureed diets
Score | Oral intake of pureed diets |
0-7 | Successful 100% |
81 | Successful in some cases |
9-12 | Unsuccessful |
- Citation: Sakamoto T, Horiuchi A, Makino T, Kajiyama M, Tanaka N, Hyodo M. Determination of the cut-off score of an endoscopic scoring method to predict whether elderly patients with dysphagia can eat pureed diets. World J Gastrointest Endosc 2016; 8(6): 288-294
- URL: https://www.wjgnet.com/1948-5190/full/v8/i6/288.htm
- DOI: https://dx.doi.org/10.4253/wjge.v8.i6.288