Guidelines for Speech-Language Pathologists Performing Videofluoroscopic Swallowing Studies (2004)
Issue: Pharyngoesophageal considerations
While it is the responsibility of appropriately trained physicians to evaluate and diagnosis esophageal stage dysphagia…. Clinicians should be aware that oropharyngeal swallowing function is often altered in patients with esophageal motility disorders and dysphagia. …SLP have knowledge and skills to recognize patient signs and symptoms..associated with esophageal phase dysphagia.
Knowledge and Skills Needed by Speech-Language Pathologists Performing Videofluoroscopic Swallowing Studies (2004)
B. Skills required
7. If esophageal screening is completed, describe any suspected anatomic and/or physiologic abnormalities of the esophagus which might impact the pharyngeal swallow, deferring to radiology for diagnostic statements
Instrumental Diagnostic Procedures for Swallowing (1991)
The results of the VFSS may suggest that referral to a radiologist/gastroenterologist for an upper GI series or air contrast esophagram may be needed to view the esophagus. SLPs should have sufficient knowledge to make an appropriate referral and plan cooperative management.
Adler, D. G., Romero, Y., Primary esophageal motility disorders. Mayo Clin Proc. 2001;76:195-200.
Crescenzo, D. G., Trastek, V. F., Allen, M. S., Deschamps, C., Pairolero, P. C. Ann Thorac Surg. 1998; 66:347-350.
Martin, R. E., Letsos, P., Taves, D. H., Inculet, R. I., Johnston, H., Preikasaitis, H. G., Oropharygeal dysphagia in esophageal cancer before and after transhiatal esophagectomy, Dysphagia. 2001; 16:23-31.
Philippsen, L. P., Weisberger, E. C., Whiteman, T. S., Schmidt, J. L., Endoscopic stapled diverticulotomy: Treatment of choice in Zenker’s diverticulum. The Laryngoscope. 2000; 110:1283-1286.
Sofer, E., Murray, J. A., Schulze-Delrieu, K., Esophagoscopy and tests of esophageal function. In Perlman, A. L. and Schulze-Delrieu, K. (eds) Deglutition and its Disorders. Singular Publishing Group: San Diego. 1998.