PMID: 25731015Mar 4, 2015Paper

What is the role of otolaryngologists in deglutition practice?--A survey for medical practitioners in different fields

Nihon Jibiinkoka Gakkai kaiho
Yurika KimuraSeiji Kishimoto

Abstract

The advent of a super aging society is causing a rapid increase in the number of patients with dysphagia, and, in response, the use of percutaneous endoscopic gastrostomy (PEG) has become markedly widespread over the past decade. As the result of its rapid spread, PEG is controversial both ethically and economically, and, in the revision of medical treatment fees for 2014, the preoperative deglutition usability test of all cases is fixed for the full amount request requirements of gastrostomy. Thus, the demands on dysphagia practice are rising. Therefore, we conducted a survey of the dysphagia practice of otolaryngologists, doctors, and speech therapists in charge of dysphagia practice in hospitals, home medical care clinics, and dental offices in Itabashi-ku, Tokyo, and we considered the role of otolaryngologists in dysphagia practice. According to the survey, the roles that are expected of otolaryngologists in dysphagia practice are the evaluation of swallowing function using videoendoscopic examination of swallowing in over 50% of home medical care clinics and dental offices. On the other hand, surgical treatment is expected of otolaryngologists in over half in the hospital group. A total of 64% of the home care clinic group...Continue Reading

References

Dec 29, 2009·Médecine sciences : M/S·Delphine Watiez, Hervé Watier
Sep 18, 2010·Nihon Jibiinkoka Gakkai kaiho·Masamitsu HyodoKahori Hirose

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