Skip to main content
SpringerLink
Log in

Manofluorographic analysis of swallowing in the elderly

  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

This study examined the effect of aging on the mechanisms of swallowing by comparing 16 elderly subjects (80 years±5) with 20 healthy volunteers. Manofluorography was used to obtain quantitative and qualitative data of the pharyngeal swallow. Aging is associated with a significant decrease in the level of negative pressure resulting from the opening of the upper esophageal sphincter and with a substantial number of incomplete relaxations of the sphincter. In addition, several qualitative changes were noted.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Sheth N, Diner W: Swallowing problems in the elderly. Dysphagia 2:209–215, 1988

    Google Scholar 

  2. Groher M, Bukatman R: The prevalence of swallowing disorders in two teaching hospitals. Dysphagia 1:3–6, 1986

    Google Scholar 

  3. Bloem B, Lagaay A, Van Beek W, Haan J, Roos R, Wintren A: Prevalence of subjective dysphagia in community residents aged over 87. BMJ 300:721–722, 1990

    Google Scholar 

  4. Castell O: Dysphagia in the elderly. JAGS 34:248–249, 1986

    Google Scholar 

  5. Logemann J: Effects of aging on the swallowing mechanism. Head Neck Dis Elderly 23:1045–1055, 1990

    Google Scholar 

  6. Tracy J, Logemann J, Kahrilas P, Jacob P, Kobara M, Krugler C: Preliminary observations on the effects of age on oropharyngeal deglutition. Dysphagia 4:90–94, 1989

    Google Scholar 

  7. Ekberg O, Feinberg M: Altered swallowing function in elderly patients without dysphagia: radiologic findings in 56 cases. AJR 156:1181–1184, 1991

    Google Scholar 

  8. Fulp SR, Dalton CB, Castell JA, Castell DO: Aging-related alterations in human upper esophageal sphincter function. Am J Gastroenterol 85:1569–1572, 1990

    Google Scholar 

  9. Shaw DW, Cook IJ, Simula ME, Panagoupolus V, Galb M, Shearman DJ: Age influence oropharyngeal and upper oesophageal sphincter function during swallowing. Aust NZ J Med 20:375, 1990

    Google Scholar 

  10. Bergström P, Ekberg O: Speed of peristalsis in pharyngeal constrictor musculature: correlation to age. Dysphagia 2:140–144, 1988

    Google Scholar 

  11. Feinberg M, Ekberg O: Videofluoroscopy in elderly patients with aspiration: importance of evaluating both oral and pharyngeal stages of deglutition. AJR 156:293–296, 1991

    Google Scholar 

  12. McConnel F: Analysis of pressure generation and bolus transit during pharyngeal swallowing. Laryngoscope 98:71–78, 1988

    Google Scholar 

  13. Mendelsohn M, McConnel F: Function in the pharyngoesophageal segment. Laryngoscope 97:483–489, 1987

    Google Scholar 

  14. Cerenko D, McConnel F, Jackson R: Quantitative assessment of pharyngeal bolus driving forces. Otolaryngol Head Neck Surg 100:57–63, 1989

    Google Scholar 

  15. McConnel F, Guffin T, Cerenko D, Shyh-Feng A: The effects of bolus flow on vertical pharyngeal pressure measurement in the pharyngoesophageal segment: clinical significance. Otolaryngol Head Neck Surg 106:169–174, 1992

    Google Scholar 

  16. McConnel F, Cerenko D, Hersh T, Weil L: Evaluation of pharyngeal dysphagia with manofluorography. Dysphagia 2:187–195, 1988

    Google Scholar 

  17. Nilsson M, Isberg A, Shiratzki H: The location of the upper oesophageal sphincter and its behaviour during bolus propagation — a simultaneous cineradiographic and manometric investigation. Clin Otolaryngol 14:61–65, 1989

    Google Scholar 

  18. Sonies B, Stone M, Shawker T: Speech and swallowing in the elderly. Gerodontology 3:115–123, 1984

    Google Scholar 

  19. Feinberg M, Knebl J, Tully J, Segall L: Aspiration and the elderly. Dysphagia 5:61–71, 1986

    Google Scholar 

  20. Curran J: Overview of geriatric nutrition. Dysphagia 5:72–76, 1990

    Google Scholar 

  21. Logemann J: Treatment for aspiration related to dysphagia: an overview. Dysphagia 1:34–38, 1986

    Google Scholar 

  22. Kahrilas P, Logemann J, Krugler C, Flanagan E: Volitional augmentation of upper esophagheal sphincter opening during swallowing. Am J Physiol 260:G450-G456, 1991

    Google Scholar 

  23. Cook I, Dodds W, Dantas R, Massey B, Kern M, Lang I, Brasseur J, Hogan W: Opening mechanisms of the human upper esophageal sphincter. Am J Physiol 257:G748-G759, 1989

    Google Scholar 

  24. Kahrilas P, Logemann J, Lin S, Ergun G: Pharyngeal clearance during swallowing: a combined manometric and videofluoroscopic study. Gastroenterology 103:128–136, 1992

    Google Scholar 

  25. Jacob P, Kahrilas P, Logemann J, Shah V, Ha T: Upper esophageal sphincter opening and modulation during swallowing. Gastroenterology 97:1469–1478, 1989

    Google Scholar 

  26. Kahrilas P, Dodds W, Dent J, Logemann J, Shaker R: Upper esphageal sphincter function during deglutition. Gastroenterology 95:52–62, 1988

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Internal Medicine, Division of Geriatric Medicine, University Hospitals, K.U. Leuven, Belgium

    E. Dejaeger MD & W. Pelemans MD, PhD

  2. Department of Radiology, University Hospitals, K.U. Leuven, Belgium

    G. Bibau MD & E. Ponette MD, PhD

Authors
  1. E. Dejaeger MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. Pelemans MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Bibau MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. E. Ponette MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dejaeger, E., Pelemans, W., Bibau, G. et al. Manofluorographic analysis of swallowing in the elderly. Dysphagia 9, 156–161 (1994). https://doi.org/10.1007/BF00341259

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00341259

Key words

Search

Navigation