Surgical Category

Compared with parenteral nutrition, enteral nutrition is superior in respect to host immune responses or host defense systems., The gut mucosa is an important barrier to microbial translocation from the gut to the mesenteric lymph nodes, the spleen, and the liver. Therefore, intestinal atrophy associated with parenteral nutrition leads to increasing passage of bacteria and […]

Laryngectomy and laryngotracheal separation are therapies used to treat intractable aspiration.,, These procedures separate the airway and digestive systems and can eliminate aspiration completely. However, such procedures have both advantages and disadvantages: for example, patients recover the ability to eat, which is a significant sensual pleasure, but they lose the ability to speak. The latter […]

Table 3 shows the types and rates of medical procedures required before and after surgery. Medical care such as the elimination of thin liquids, education about optimal feeding techniques, and repeated hospitalization became unnecessary after surgery. The number of patients who needed frequent suctioning of oral secretions, and general rehabilitation was reduced after surgery, and […]

Data Collection The following clinical data concerning the surgical procedure were examined: operation time, time until oral intake, videoflu-orographic study, and surgical complications. The medical management for aspiration including feeding condition was also examined before and after surgery. Scores of aspiration pneumonia, BMI, laboratory data, the Barthel Index, the SDS, the face scale, and the […]

Subjects Seven patients with intractable aspiration and recurrent aspiration pneumonia participated in this study. We confirmed the aspirations by videofluorography and clinical evaluation in all patients. The indications for surgical therapy for intractable aspiration are as follows: (1) aspiration cannot be controlled by medical treatments; (2) there is an irreversible laryngeal dysfunction; (3) phonation disturbance […]

Aspiration is a major cause of pulmonary infections, and recurrent aspiration can cause life-threatening pulmonary diseases. Swallowing difficulties resulting in aspiration occur in a variety of swallowing and laryngeal dysfunctions associated with neuromuscular, esophageal, and laryngeal dis-orders. Management of patients with aspiration initially requires discontinuation of oral intake. In some instances, pulmonary lavage may be indicated, […]