Diagnosis Disfagia

Oleh :

dr. Nindy Adhilah

Diagnosis disfagia berdasarkan keluhan kesulitan menelan. Pemeriksaan awal pasien harus bertujuan untuk menyingkirkan patologi yang mengancam jiwa, seperti neoplasia, serta mengidentifikasi pasien yang berisiko mengalami aspirasi.[1,5,6]

Anamnesis

Secara umum, pasien dengan disfagia akan mengeluhkan kesulitan menelan, yang dapat disertai dengan batuk, tersedak, regurgitasi, aspirasi, dan sensasi sisa makanan di saluran napas.

Referensi

1. Azer SA, Kanugula AK, Kshirsagar RK. Dysphagia.Treasure Island (FL): StatPearls Publishing; 2024 Jan. https://www.ncbi.nlm.nih.gov/books/NBK559174/
2. Jalil AAA, Katzka DA, Castell DO. Approach to the Patient with Dysphagia. The American Journal of Medicine. 2015; 128: 1138.e17-1138.e23.
3. Christmas C, Rogus-Pulia N. Swallowing Disorders in the Older Population. J Am Geriatr Soc. 2019; 67(12): 2643-2649.
4. Wirth R, Dziewas R, et al. Oropharyngeal dysphagia in older persons – from pathophyisiology to adequate intervention: a review and summary of an international expert meeting. Clinical Interventions in Aging. 2016; 11:189-208.
5. Paik NJ. Dysphagia. Medscape. 2022. https://emedicine.medscape.com/article/2212409-overview
6. Dylczyk-Sommer A. Dysphagia. Part 1: General Issues. Anaesthesiol Intensive Ther. 2020; 52(3): 226-232.
10. Fass R. Approach to the evaluation of dysphagia in adults. Uptodate. 2021
11. Miarons M, Campins L, et al. Drugs Related to Oropharyngeal Dysphagia in Older People. Dysphagia. 2016;31(5):697. Epub 2016 Aug 4.
12. Miarons Font M, Rofes Salsench L. Antipsychotic medication and oropharyngeal dysphagia: systematic review. Eur J Gastroenterol Hepatol. 2017;29(12):1332.
14. Chilukuri P, Odufalu F, Hachem C. Dysphagia. Missouri Medicine. 2018; 115(3): 206-210.
15. Lynch YT, Clark BJ, et al. The Accuracy of the Bedside Swallowing Evaluation for Detecting Aspiration in Survivors of Acute Respiratory Failure. Journal of Critical Care. 2017; 39:143-148
16. Horiguchi S, Suzuki Y. Screening Tests in Evaluating Swallowing Function. JMAJ. 2011; 54(1): 31-34.
17. Chen A, Tafti D, Tuma F. Barium Swallow. Treasure Island (FL): StatPearls Publishing; 2024 Jan. https://www.ncbi.nlm.nih.gov/books/NBK493176/
18. Cohen DC, Sears D, et al, Roberts KE. Esophagoscopy. Medscape. 2022. http://emedicine.medscape.com/article/1891879-overview
19. Philipsen BB. Dysphagia – Pathophysiology of Swallowing Dysfunction, Symptoms, Diagnosis and Treatment. Journal of Otolaryngology and Rhinology. 2019; 5:063
20. Baldwin D, Puckett Y. Esophageal Manometry. Treasure Island (FL): StatPearls Publishing; 2024 Jan.https://www.ncbi.nlm.nih.gov/books/NBK559237/

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Diagnosis Disfagia

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