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Dysphagia
Published in: Dysphagia 1/2023

16-05-2022 | Foreign Body Aspiration | Original Article

The Role of Oral Feeding Time and Sham Feeding on Oropharyngeal Swallowing Functions in Children with Esophageal Atresia

Authors: Tutku Soyer, Selen Serel Arslan, Özlem Boybeyi, Numan Demir, Feridun Cahit Tanyel

Published in: Dysphagia | Issue 1/2023

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Abstract

A retrospective study was performed to evaluate the role of oral feeding (OF) time and sham feeding (SF) on oral-pharyngeal swallowing functions in children with esophageal atresia (EA). Patients with EA were evaluated for age, sex, and types of atresia, time to start OF and surgical complications. Three to six weeks after full OF, videofluoroscopic swallowing evaluation (VFSE) was performed, and Penetration Aspiration Score (PAS, no aspiration = 1, penetration = 2–5, aspiration = 6–8), delay in swallowing reflex and residue after liquid and pudding consistency were noted. Patients were divided into three groups according to repair time; early primary repair (EPR, < 1 month of age), delayed primary repair (DPR, ≥ 1 month of age) and colonic interposition (CI). VFSE findings were compared between groups. In CI group, patients without aspiration in VFSE were encouraged to sham SF before CI. Patients with and without SF in CI group were also compared for oro-pharyngeal dysphagia (OPD). PAS scores were significantly higher in DPR (n = 13) group when compared to CI group (n = 12) in liquid swallowing (p = 0.032) and higher than EPR (n = 30) in pudding consistency (p = 0.03). Patients with CI showed significant OPD when compared to EPR (p = 0.017). Swallowing reflex delay was similar in both groups (p > 0.05). DPR group had significantly higher liquid residue at the level of vallecula (p = 0.028). The residue at other levels (oral, tongue base, pharyngeal wall and pyriform sinus) were similar in all groups in both liquid and pudding consistencies. There was no significant difference between sham-fed (n = 6) and not sham-fed (n = 6) infants in VFSE of OPD (p > 0.05). Patients with DPR without SF had significantly higher incidence of OPD and PAS scores when compared to EPR and CI. Although CI groups has the latest OF time, SF may improve oral motor abilities and cause better OF swallowing functions than patients with delayed repair.
Literature
1.
Morgan AT, Dodrill P, Ward EC. Interventions for oropharyngeal dysphagia in children with neurological impairment. Cochrane Database Syst Rev. 2012;10:CD009456.
2.
Yalcin S, Demir N, Serel S, Soyer T, Tanyel FC. The evaluation of deglutition with videofluoroscopy after repair of esophageal atresia and/or tracheoesophageal fistula. J Pediatr Surg. 2015;50:1823–7.
3.
Smith IJ, Beck J. Mechanical feeding difficulties after primary repair of oesophageal atresia. Acta Paediatr Scand. 1985;74(2):237–9.
4.
Serel Arslan S, Demir N, Karaduman AA, Tanyel FC, Soyer. Chewing function in children with repaired Esophageal Atresia-Tracheoesophageal Fistula. Eur J Pediatr Surg. 2018;28(6):534–8.
5.
Soyer T, Yalcin S, Arslan SS, Demir N, Tanyel FC. Pediatric Eating Assessment Tool-10 as an indicator to predict aspiration in children with esophageal atresia. J Pediatr Surg. 2017;52(10):1576–9.
6.
Golonka NR, Hayashi AH. Early ‘sham’ feeding of neonates promotes oral feeding after delayed primary repair of children with congenital esophageal anomalies. Am J Surg. 2008;195:659–62.
7.
Dingemann C, Eaton S, Aksnes G, Bagolan P, Cross KM, De Coppi P, Fruithof J, Gamba P, Goldschmidt I, Gottrand F, Pirr S, Rasmussen L, Sfeir R, Slater G, Suominen J, Svensson JF, Thorup JM, Tytgat SHAJ, van der Zee DC, Wessel L, Widenmann-Grolig A, Wijnen R, Zetterquist W, Ure BM. ERNICA Consensus conference on the management of patients with long-gap esophageal atresia: perioperative, surgical, and long-term management. Eur J Pediatr Surg. 2021;31(3):214–25.
8.
Hiorns MP, Ryan MM. Current practice in paediatric videofluoroscopy. Pediatr Radiol. 2006;36(9):911–9.
9.
Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11:93–8.
10.
Soyer T, Öztorun Cİ, Fırıncı B, Durakbaşa ÇU, Bahadır GG, Karaman A, Dökümcü Z, Akkoyun İ, Demirel BD, Öztan MO, Çiftçi İ, İlhan H, Yalçın S, Özden Ö, Tekant GT, Kıyan G, Oral A, Güvenç Ü, Parlak A, Erginel B, Yıldız A, Erdem AO, Uzunlu O, Ertürk N, Aydın E, Samsum H, Arslan UE. The effect of azygos vein preservation on postoperative complications after esophageal atresia repair: results from the Turkish Esophageal Atresia Registry. J Pediatr Surg. 2020;S0022–3468(20):30903–9.
11.
Rayyan M, Allegaert K, Omari T, Rommel N. Dysphagia in children with esophageal atresia: current diagnostic options. Eur J Pediatr Surg. 2015;25(4):326–32.
12.
Hörmann M, Pokieser P, Scharitzer M, Pumberger W, Memarsadeghi M, Partik B, Ekberg O. Videofluoroscopy of deglutition in children after repair of esophageal atresia. Acta Radiol. 2002;43(5):507–10.
13.
Montgomery M, Witt H, Kuylenstierna R, Frenckner B. Swallowing disorders after esophageal atresia evaluated with videomanometry. J Pediatr Surg. 1998;33(8):1219–23.
14.
15.
Simpson C, Schanler RJ, Lau C. Early introduction of oral feeding in preterm infants. Pediatrics. 2002;110(3):517–22.
16.
Kamitsuka MD, Nervik PA, Nielsen SL, Clark RH. Incidence of nasogastric and gastrostomy tube at discharge is reduced after implementing an oral feeding protocol in premature (< 30 weeks) infants. Am J Perinatol. 2017;34(6):606–13.
Metadata
Title
The Role of Oral Feeding Time and Sham Feeding on Oropharyngeal Swallowing Functions in Children with Esophageal Atresia
Authors
Tutku Soyer
Selen Serel Arslan
Özlem Boybeyi
Numan Demir
Feridun Cahit Tanyel
Publication date
16-05-2022
Publisher
Springer US
Published in
Dysphagia / Issue 1/2023
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-022-10461-1

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