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Dysphagia
Published in: Dysphagia 1/2023

04-07-2022 | Foreign Body Aspiration | Original Article

Oropharyngeal Dysphagia in Children with Eosinophilic Esophagitis

Authors: Muserrefe Nur Keles, Hacer Ilbilge Ertoy Karagol, Selen Serel Arslan, Odul Egritas Gurkan, Sinan Sari, Bulent Elbasan, Buket Dalgic, Arzu Bakirtas, Gazi University Pediatric Eosinophilic Gastrointestinal Diseases Working Group

Published in: Dysphagia | Issue 1/2023

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Abstract

Dysphagia is the most troublesome symptom of eosinophilic esophagitis (EoE). This study aimed to investigate oropharyngeal dysphagia in children with EoE and possible related factors. Children with a definite diagnosis of EoE were included in the study. Medical and feeding histories were recorded. A disease control level was determined for each child. An oral structure examination, the Turkish version of the Mastication and Observation Evaluation (T-MOE), the Pediatric version of the Eating Assessment Tool-10 (PEDI-EAT-10) and the 3-oz water swallow test were applied in screening for oropharyngeal dysphagia. Fifty-two children participated in the study. Oropharyngeal dysphagia took the form of abnormal swallowing (PEDI-EAT-10 score ≥ 4) and increased aspiration risk (PEDI- EAT-10 score ≥ 13) in 51.9% and 25.0% of the children, respectively. Seven children failed the 3-oz water swallow test. Abnormal swallowing and aspiration risk were significantly higher in children with prolonged mealtimes, impaired chewing function, and uncontrolled disease (p < 0.05). Chewing function was the most important risk factor for abnormal swallowing and increased aspiration (R2 = 0.36, R2 = 0.52, p < 0.001, respectively). Oropharyngeal dysphagia is common in children with EoE and associated with increased aspiration risk in a subpopulation. Uncontrolled disease, prolonged mealtimes, and impaired chewing function may provide clues for oropharyngeal dysphagia in EoE.
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Metadata
Title
Oropharyngeal Dysphagia in Children with Eosinophilic Esophagitis
Authors
Muserrefe Nur Keles
Hacer Ilbilge Ertoy Karagol
Selen Serel Arslan
Odul Egritas Gurkan
Sinan Sari
Bulent Elbasan
Buket Dalgic
Arzu Bakirtas
Gazi University Pediatric Eosinophilic Gastrointestinal Diseases Working Group
Publication date
04-07-2022
Publisher
Springer US
Published in
Dysphagia / Issue 1/2023
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-022-10489-3

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