ArticleDysphagia2019
Improving the Diagnostic Capability of the Modified Barium Swallow Study Through Standardization of an Esophageal Sweep Protocol.
Article in Dysphagia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- ESSD-ESGAR best practice position statements on the technical performance of videofluoroscopic swallowing studies in adult patients with swallowing disorders.European radiology · 2025Guideline
- Visualizing the Esophagus During Modified Barium Swallow Studies: A Systematic Review.American journal of speech-language pathology · 2021Pooled it
- Article
- Thin Liquid Sip Sizes in Outpatient Adults with Normal and Disordered Swallowing: Modifying Factors and Relationships with Swallowing Safety and Efficiency.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026Article
- Examining the Use of Pill Swallowing in Dysphagia Assessment: A Survey of Common Practices.Dysphagia · 2026Article
- The Role of Video Fluoroscopic Swallow Study as a Screening Tool for Esophageal Dysmotility: A Call for More Widespread Implementation of a Standardized Esophageal Sweep Protocol.Gastro hep advances · 2026Review
- Preliminary Characterization of Proximal Versus Distal Esophageal Function in Healthy, Asymptomatic Adults.Neurogastroenterology and motility · 2026Article
- Multidisciplinary Assessment and Management of Functional Dysphagia.Gastro hep advances · 2026Review
- Esophageal retention on modified barium swallow study: Limited predictive value for true esophageal pathology.World journal of gastrointestinal pathophysiology · 2025Article
- Validation of the Dynamic Imaging Grade of Swallowing Toxicity for Amyotrophic Lateral Sclerosis.Neurogastroenterology and motility · 2025Article
- Oesophageal fluoroscopy in adults-when and why?The British journal of radiology · 2024Review
- Evaluation of outcome measures for post-operative dysphagia after anterior cervical discectomy and fusion.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023Review
- Diagnostic Accuracy of an Esophageal Screening Protocol Interpreted by the Speech-Language Pathologist.Dysphagia · 2021Article
- Esophageal stenosis in head and neck cancer patients: Imaging's accuracy to predict dilation response.Laryngoscope investigative otolaryngology · 2021Article
- The Landscape of Videofluoroscopy in the UK: A Web-Based Survey.Dysphagia · 2021Article
- European white paper: oropharyngeal dysphagia in head and neck cancer.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Article
- Aging Effects on Esophageal Transit Time in the Upright Position During Videofluoroscopy.The Annals of otology, rhinology, and laryngology · 2020Article
- Characteristics of Patients With Esophageal Dysphagia Assessed by Chest X-Ray Imaging After Videofluoroscopic Swallowing Study.Annals of rehabilitation medicine · 2020Article
- Development of Swallowing Function in Infants with Oral Feeding Difficulties.International journal of pediatrics · 2020Article
- Vascular anomaly: Cause of infant respiratory distress and dysphagia.Respiratory medicine case reports · 2019Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The modified barium swallow (MBS) study is a videofluoroscopic evaluation of oropharyngeal swallow function. Esophageal imaging is not routinely performed during an MBS, and few guidelines for implementation or interpretation exist. Aims of the current investigation were to (1) delineate the percentage of normal, oropharyngeal, esophageal, and mixed swallowing dysfunction, (2) develop operational definitions for rating our standardization cursory view of esophageal bolus flow, and (3) determine inter-rater reliability between speech pathology (SLP) and physician raters for categorizing esophageal abnormalities. A two-phase retrospective review of 358 patient charts and MBS studies was conducted. Esophageal bolus flow was operationally defined as (1) normal, (2) anatomic abnormality, (3) dysmotility and (4) combined. Descriptive statistics, a Chi square with alpha set at 0.05, and Kappa analysis were performed. Esophageal dysfunction was identified in 80 (26%) patients and included: anatomic abnormality (69%), dysmotility (17%), and combined abnormality (14%). Phase one reliability testing yielded fair agreement between SLP and MD raters k = 0.5. Following revision of definitions and consensus training, phase two reliability testing resulted in excellent agreement between the same raters k = 0.9. Multiphase or primary esophageal dysphagia was found in 26% of our sample using a standardized protocol rating esophageal bolus flow from the upper esophageal sphincter through the lower esophageal sphincter during the MBS. Improved agreement between SLP and MD raters after definition revision and training suggests these operational definitions are concise, objective and reliable. An expanded MBS study may lead to early identification of esophageal disorders, encourage multidisciplinary patient care, and improve patient health outcomes.
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Registered trials
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