{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:47:38Z","timestamp":1761061658485,"version":"3.41.2"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT - BACKGROUND: Dysphagia can lead to aspiration pneumonia, impacting the nutritional status and quality of life of the patient. The videofluoroscopy is highlighted for allowing both a real-time evaluation and the recording of the images for later review and analysis.  AIM:  This study aimed to describe the characteristics of the population referred for videofluoroscopy and its value as an investigation method.  METHODS:  A descriptive and retrospective study was conducted. Exams were analyzed in lateral and anteroposterior views and reviewed using the frame-by-frame analysis software. The variables analyzed were an indication of the exam, previous diseases, dynamics of the oral and pharyngeal phases, and the degree of penetration\/aspiration.  RESULTS:  A total of 141 exams were analyzed. The study population had a median age of 66.24\u00b117.78 years. For the indication of the exam, the investigation of dysphagia was highlighted (n=87, 61.7%) and for previous conditions, diverticulum (n=13, 9.2%), pharyngeal bar (n=12, 8.51%), and stroke and Parkinson\u2019s disease (n=9, 6.4%) were highlighted. In the oral phase, 45 (31.9%) patients had a premature loss, and 108 (76.6%) patients had normal transit time. However, 100 (70.9%) had inadequate ejection. In the pharyngeal phase, 119 (84.4%) had efficient laryngeal displacement and 107 (75.9%) had an adequate opening of the upper esophageal sphincter. The beginning of the pharyngeal phase was classified as inadequate in 131 (92.9%) patients, and 80 (56.74%) had pharyngeal residue. Notably, 100 (70.9%) patients had grade 1 on the penetration\/aspiration scale.  CONCLUSION:  Despite the didactic division of phases, swallowing is complex and has transition stages. Videofluoroscopy is the only method for evaluating all phases of swallowing and its events.<\/jats:p>","DOI":"10.1590\/0102-672020210002e1650","type":"journal-article","created":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T13:46:19Z","timestamp":1655732779000},"source":"Crossref","is-referenced-by-count":1,"title":["THE DYSPHAGIA INVESTIGATION: IS THERE STILL SPACE FOR THE VIDEOFLUOROSCOPIC METHOD?"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2806-8053","authenticated-orcid":false,"given":"Charles Henrique Dias","family":"MARQUES","sequence":"first","affiliation":[{"name":"Federal University of Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2107-2460","authenticated-orcid":false,"given":"Luiz Jo\u00e3o","family":"ABRAH\u00c3O-J\u00daNIOR","sequence":"additional","affiliation":[{"name":"Federal University of Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1916-9274","authenticated-orcid":false,"given":"Eponina Maria Oliveira","family":"LEMME","sequence":"additional","affiliation":[{"name":"Federal University of Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"3","key":"ref1","article-title":"Structural bases of gastrointestinal motility changes in Parkinson\u2019s disease: study in rats","volume":"33","author":"Albuquerque JCS","year":"2021","journal-title":"Arq Bras Cir Dig"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1111\/1460-6984.12158","article-title":"Swallowing disorders in Parkinson\u2019s disease: impact of lingual pumping","volume":"50","author":"Argolo N","year":"2015","journal-title":"Int J Lang Commun Disord"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s00455-015-9653-y","article-title":"Videofluoroscopic Predictors of Penetration-Aspiration in Parkinson\u2019s Disease Patients","volume":"30","author":"Argolo N","year":"2015","journal-title":"Dysphagia"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1007\/s00455-020-10130-1","article-title":"The Landscape of Videofluoroscopy in the UK: A Web-Based Survey","volume":"36","author":"Benfield JK","year":"2021","journal-title":"Dysphagia"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s00455-009-9214-3","article-title":"Patient dose during videofluoroscopy swallowing studies in a Hong Kong public hospital","volume":"24","author":"Chau KH","year":"2009","journal-title":"Dysphagia"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1590\/s0004-2803.201800000-45","article-title":"Neural control of swallowing","volume":"55Suppl 1","author":"Costa MMB","year":"2018","journal-title":"Arq Gastroenterol"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1590\/S0004-28032010000400001","article-title":"Videofluoroscopy: the gold standard exam for studying swallowing and its dysfunction","volume":"47","author":"Costa MMB","year":"2010","journal-title":"Arq. 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swallowing disorders with videofluoroscopy in Austria: a survey","volume":"53","author":"Eisenhuber E","year":"2005","journal-title":"Eur J Radiol"},{"issue":"2","key":"ref12","first-page":"83","article-title":"Social importance of dysphagia: its impact on diagnosis and therapy","volume":"27","author":"Farri A","year":"2007","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"3","key":"ref13","first-page":"301","article-title":"Estudo das altera\u00e7\u00f5es de maior ocorr\u00eancia nas fases oral e far\u00edngea da degluti\u00e7\u00e3o, entre 20 e 93 anos de idade, avaliadas pela videofluoroscopia","volume":"16","author":"Fiorese AC","year":"2004","journal-title":"Disturbios da Comunica\u00e7\u00e3o"},{"issue":"1","key":"ref14","doi-asserted-by":"crossref","DOI":"10.1148\/rg.e22","article-title":"Videofluoroscopy and swallowing studies for neurologic disease: a primer","volume":"26","author":"Gates 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effective","volume":"76","author":"Odderson IR","year":"1995","journal-title":"Arch Phys Med Rehabil"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1016\/bs.irn.2017.05.026","article-title":"Swallowing Dysfunctions in Parkinson\u2019s Disease","volume":"134","author":"Simons JA","year":"2017","journal-title":"Int Rev Neurobiol"},{"key":"ref27","first-page":"287","article-title":"Dysphagia in the elderly: management and nutritional considerations","volume":"7","author":"Sura L","year":"2012","journal-title":"Clin Interv Aging"},{"issue":"1","key":"ref28","first-page":"18","article-title":"The influence of oral and pharyngeal phases on the swallowing dynamic","volume":"41","author":"Yamada EK","year":"2004","journal-title":"Arq Gastroenterol"},{"issue":"2","key":"ref29","article-title":"Onset locations of the pharyngeal phase of swallowing: meta-analysis","volume":"29","author":"Zancan 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Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":["INVESTIGA\u00c7\u00c3O DA DISFAGIA: AINDA H\u00c1 ESPA\u00c7O PARA O M\u00c9TODO VIDEOFLUOROSC\u00d3PICO?"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-67202022000100306&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T21:52:15Z","timestamp":1658872335000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202022000100306&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":30,"alternative-id":["S0102-67202022000100306"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020210002e1650","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"type":"electronic","value":"2317-6326"},{"type":"print","value":"0102-6720"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e1650"}}