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03-04-2024 | Dysphagia | Original Article

Sliced Jelly Whole Swallowing Reduces Deglutition Risk: A Novel Feeding Method for Patients with Dysphagia

Authors: Seijiro Aii, Ichiro Fujishima, Takashi Shigematsu, Tomohisa Ohno, Kenjiro Kunieda, Masanaga Yamawaki

Published in: Dysphagia

Abstract

Texture modification in the form of gels or jellies is used for patients with dysphagia. For over 20 years, our group has been using gelatin jellies, a type of gel, as a starting diet for patients with dysphagia. Gelatin jellies are served in a small-sliced form and swallowed whole. In sliced jelly whole swallowing (SJWS), sliced gelatin jelly (SGJ) passes through the pharynx in one lump without collapsing. This study aimed to examine the usefulness of SJWS. We analyzed the images of videofluoroscopic swallowing studies performed using the normalized residue ratio scale (NRRSv: vallecula, NRRSp: pyriform sinus), the penetration–aspiration scale (PAS), and pharyngeal transit time (PTT) in 50 patients with dysphagia and compared the results in a prospective study. SJWS had significantly less residue in both NRRSv and NRRSp than in moderately thickened liquid swallowing. No significant differences in PAS scores were found between SGJ and moderately thickened liquid. Additionally, no significant differences in PTT scores were noted between the two. This study demonstrated the usefulness of SJWS in improving swallowing safety in patients with dysphagia. Further studies are needed to evaluate the reproducibility of the test, the comparison of SGJ with other thickened liquids, and the safety of SJWS for different diseases.

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Title: Sliced Jelly Whole Swallowing Reduces Deglutition Risk: A Novel Feeding Method for Patients with Dysphagia
Authors: Seijiro Aii
Ichiro Fujishima
Takashi Shigematsu
Tomohisa Ohno
Kenjiro Kunieda
Masanaga Yamawaki
Publication date: 03-04-2024
Publisher: Springer US
Keywords: Dysphagia
Dysphagia
Dysphagia
Aspiration
Published in: Dysphagia
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-024-10674-6

At a glance: The STEP trials

Springer Medicine

Sliced Jelly Whole Swallowing Reduces Deglutition Risk: A Novel Feeding Method for Patients with Dysphagia

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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