{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T10:23:10Z","timestamp":1777976590899,"version":"3.51.4"},"reference-count":266,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Schluckst\u00f6rungen sind h\u00e4ufig. Sie k\u00f6nnen zu erh\u00f6hter Mortalit\u00e4t durch aspirationsbedingte Lungenkomplikationen und Mangelern\u00e4hrung einerseits sowie einer erheblichen Beeintr\u00e4chtigung der Lebensqualit\u00e4t andererseits f\u00fchren. Die demografische Entwicklung in Deutschland l\u00e4sst einen kontinuierlichen Anstieg der Dysphagie in den kommenden Jahren erwarten. Schwerpunkte sind dabei neurodegenerative Erkrankungen, die Tumoren im Verlauf der Schluckstra\u00dfe und die Folgen der Tumorbehandlung im oberen Aerodigestivtrakt.<\/jats:p><jats:p>Vorrangig sind die \u00c4rzte aus dem HNO-Bereich und der Phoniatrie als kompetente Fachgruppen zentrale Ansprechpartner f\u00fcr die Diagnostik und Therapieplanung der Dysphagie.<\/jats:p><jats:p>Die meist komplexen St\u00f6rungen verlangen eine differenzierte Anamnese, Diagnostik und eine symptomorientierte Behandlung.<\/jats:p><jats:p>Das Einbeziehen auch von nicht-\u00e4rztlichen Fachgruppen wie Logop\u00e4den, Physiotherapeuten und Ergotherapeuten in die Planung einer effizienten Therapie erweitert und komplettiert die kompetente patientenzentrierte Betreuung. Die konservative Dysphagietherapie durch Logop\u00e4den und \u00e4hnliche Fachgruppen ist, auch l\u00e4ngerfristig, ein wichtiges Standbein der Behandlung. Zudem k\u00f6nnen Anteile der spezifischen Diagnostik in enger Kooperation \u00fcbernommen werden.<\/jats:p><jats:p>Eine interdisziplin\u00e4re Zusammenarbeit insbesondere mit den intensivmedizinischen neurologischen und internistischen Fachgruppen ist erforderlich.<\/jats:p><jats:p>Die in diesem Positionspapier beschriebenen Verfahren der speziellen Endoskopie geh\u00f6ren zu den origin\u00e4ren \u00e4rztlichen Leistungen, vornehmlich der Fach\u00e4rzte f\u00fcr Hals-, Nasen-, und Ohrenheilkunde bzw. f\u00fcr Sprach-, Stimm- und kindliche H\u00f6rst\u00f6rungen (Phoniatrie und P\u00e4daudiologie).<\/jats:p><jats:p>Die Endoskopie ist eine \u00e4rztliche Leistung, die grunds\u00e4tzlich nicht delegierbar ist \u201eIn keinem Fall delegierbar sind Leistungen der Endoskopie (au\u00dfer Kapselendoskopien, die durch speziell ausgebildete nicht\u00e4rztliche Mitarbeiter gef\u00fchrt werden k\u00f6nnen) und der Sonografie\u201c siehe 278. Entsprechend ist eine Substitution des Arztes ausgeschlossen.<\/jats:p>","DOI":"10.1055\/s-0035-1545298","type":"journal-article","created":{"date-parts":[[2015,4,11]],"date-time":"2015-04-11T03:22:21Z","timestamp":1428722541000},"page":"S306-S354","source":"Crossref","is-referenced-by-count":28,"special_numbering":"S","title":["Positionspapier der DGHNO und der DGPP \u2013 Stand der klinischen und endoskopischen Diagnostik, Evaluation und Therapie von Schluckst\u00f6rungen bei Kindern und Erwachsenen"],"prefix":"10.1055","volume":"94","author":[{"given":"C.","family":"Arens","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Universit\u00e4tsklinikum Magdeburg A\u00f6R, Otto-von-Guericke-Universit\u00e4t, Magdeburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I. F.","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Refluxcenter, D\u00fcsseldorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Rohrbach","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Audiologie und Phoniatrie, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Schwemmle","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Universit\u00e4tsklinikum Magdeburg A\u00f6R, Otto-von-Guericke-Universit\u00e4t, Magdeburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Nawka","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Audiologie und Phoniatrie, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2015,4,10]]},"reference":[{"key":"ref1","first-page":"363","volume-title":"Drug-induced communication and swallowing disorders","author":"T Remington","year":"2007"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1007\/BF02414429","article-title":"Fiberoptic endoscopic examination of swallowing safety: a new procedure","volume":"2","author":"S E Langmore","year":"1988","journal-title":"Dysphagia"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1007\/s00106-013-2741-0","article-title":"Zur Ausf\u00fchrung der fiberoptisch-endoskopischen Schluckdiagnostik durch nicht\u00e4rztliche Therapeuten sowie durch \u00c4rzte ohne HNO-\u00e4rztliche bzw. ohne phoniatrisch-p\u00e4daudiologische Gebietsbezeichnung: \u00c4rztliche und juristische Aspekte","volume":"61","author":"C A 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