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Impact of nasogastric tube feeding on swallowing function in patients with dysphagia: a pilot study

 Yu Sang Jung  ;  MinYoung Kim  ;  Kyunghoon Min  ;  Jong Moon Kim  ;  Eun Young Han  ;  Kye Hee Cho  ;  Sang Hee Im 
 NEUROLOGY ASIA, Vol.26(4) : 809-815, 2021-09 
Journal Title
Issue Date
Nasogastric tube ; videofluoroscopic swallowing study ; dysphagia ; aspiration
During dysphagia treatment, direct oral swallowing therapy is applied to some patients temporarily
fed via nasogastric tube. However, the risk of aspiration in oral swallowing while nasogastric tube
in situ may be disregarded in a standard videofluoroscopic swallowing study performed without a
nasogastric tube. To evaluate the diagnostic significance of nasogastric tube in situ videofluoroscopic
swallowing study of nectar and pureed diet compared to the standard videofluoroscopic swallowing
study without nasogastric tube. Videofluoroscopic swallowing study records of dysphagia patients
conducted between June and August 2017 in a university hospital were collected for review.
Rosenbek’s penetration-aspiration scale, diagnostic criteria of aspiration were used to define aspiration.
videofluoroscopic dysphagia scale for videofluoroscopic swallowing study with or without nasogastric
tube were compared for nectar and pureed diet swallowing. Patients had various duration of nasogastric
tube feeding. Paired T-test comparing the videofluoroscopic dysphagia scales for videofluoroscopic
swallowing study with or without nasogastric tube revealed significant aggravation of swallowing
dysfunction in nectar drinking while nasogastric tube in situ. This aggravation was noted in 19%
(n=4) of patients who suffered from stroke regardless of nasogastric tube duration. Nasogastric tube
in situ videofluoroscopic swallowing study, at least of nectar drinking could be beneficial in selecting
a safe candidate for direct oral swallowing therapy in conjunction with the conventional nasogastric
tube removed videofluoroscopic swallowing study.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Im, Sang Hee(임상희) ORCID logo https://orcid.org/0000-0001-5128-5526
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