The modified barium swallow and the functional endoscopic evaluation of swallowing.

Susan Brady, Joseph Donzelli

Journal: Otolaryngologic clinics of North America 2014;46(6):1009-22

PMID: 24262956

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Abstract

This article reviews the current standard of care for the instrumental evaluation of swallow function using the modified barium swallow (MBS) and the functional endoscopic evaluation of swallowing (FEES). Both the MBS and FEES are valuable procedures for evaluating dysphagia and show good agreement with diagnostic findings as related to tracheal aspiration, laryngeal penetration, pharyngeal residue, diet level, and compensatory swallow safety strategies. The use of the MBS and FEES has advantages and disadvantages and both should be considered the gold standard for evaluating swallow function.

Address: Departments of Speech-Language Pathology and Clinical Education, Swallowing Center, Marianjoy Rehabilitation Hospital, 26 West 171 Roosevelt Road, Wheaton, IL 60187, USA. Electronic address: [email protected].

DOI: 10.1016/j.otc.2013.08.001

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MeSH Terms: Barium Sulfate, Contrast Media, Deglutition, Deglutition Disorders, Endoscopy, Fluoroscopy, Humans, Laryngeal Diseases, Reproducibility of Results, Respiratory Aspiration, Symptom Assessment