ArticleEsophagus : official journal of the Japan Esophageal Society2019
Change in tongue pressure and the related factors after esophagectomy: a short-term, longitudinal study.
Article in Esophagus : official journal of the Japan Esophageal Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Exercise-based dysphagia rehabilitation for adults with oesophageal cancer: a systematic review.BMC cancer · 2022Pooled it
- Perioperative gum-chewing training prevents a decrease in tongue pressure after esophagectomy in thoracic esophageal cancer patients: a nonrandomized trial.Scientific reports · 2024Trial
- Article
- Impact of LEARNS Model-Based Health Education on Swallowing Safety and Psychological Well-Being in Postoperative Esophageal Cancer Patients.Journal of multidisciplinary healthcare · 2026Article
- Perioperative Changes in Oral Function and Association With Oral Food Intake Status in Patients Undergoing Gastric and Oesophageal Cancer Surgery.Journal of oral rehabilitation · 2025Article
- Progress on aspiration assessment methods for patients after esophageal cancer surgery in early: A review.Medicine · 2025Review
- Perioperative Decrease in Tongue Pressure is an Intervenable Predictor of Aspiration After Esophagectomy.Dysphagia · 2023Observational
- Effects of simulated kyphosis posture on swallowing and respiratory functions.Journal of physical therapy science · 2023Article
- Changes in Maximum Tongue Pressure and Postoperative Dysphagia in Mechanically Ventilated Patients after Cardiovascular Surgery.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022Article
- Post-extubation Dysphagia-Early Detection by Serial Tongue Pressure Measurements: Is it Practical?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022Article
- Clinical significance of sarcopenic dysphagia for patients with esophageal cancer undergoing esophagectomy: A review.Annals of gastroenterological surgery · 2022Review
- Prevalence, nature and trajectory of dysphagia postoesophageal cancer surgery: a prospective longitudinal study protocol.BMJ open · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDysphagia is a prominent symptom after esophagectomy and may cause aspiration pneumonia. Swallowing evaluation after esophagectomy can predict and help control the incidence of postoperative pneumonia. The aim of this study was to clarify whether the change in tongue pressure was associated with any related factor and postoperative dysphagia/pneumonia in patients with esophageal cancer after esophagectomy.
methodsFifty-nine inpatients (41 males and 18 females; 33-77 years old) who underwent esophagectomy participated in this study. Measurement of tongue pressure and the repetitive saliva swallowing test (RSST) was performed before esophagectomy (baseline) and at 2 weeks postoperatively. The general data were collected from patients' medical records, including sex, age, type of cancer, cancer stage, location of cancer, operative approach, history of previous chemotherapy, surgical duration, amount of bleeding during surgery, incidences of postoperative complications, intubation period, period between surgery and initiation of oral alimentation, and intensive care unit (ICU) stay, blood chemical analysis, and lifestyle.
resultsTongue pressure decreased significantly after esophagectomy (p = 0.011). The decrease of tongue pressure was significantly associated with length of ICU stay and preoperative tongue pressure on multiple regression analysis (p < 0.05). The decrease of tongue pressure in the RSST < 3 or postoperative pneumonia (+) group was significantly greater than in the RSST ≥ 3 (p = 0.003) or pneumonia (-) group (p = 0.021).
conclusionsThe decrease in tongue pressure was significantly associated with the length of ICU stay, preoperative tongue pressure, and the incidence of dysphagia and pneumonia among inpatient after esophagectomy.
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