Displaying publications 1 - 20 of 93 in total

  1. Loh KY, Kew ST
    Med J Malaysia, 2008 Jun;63(2):174-6; quiz 177.
    PMID: 18942314 MyJurnal
    Non ulcer dyspepsia is one of the most common problems encountered in primary care practice. The underlying pathophysiology of non ulcer dyspepsia is not fully understood, but it is known that this condition is associated with H. pylori infection and motility disorder. The presenting abdominal symptoms are non specific: they include bloating, belching, flatulence, excessive fullness after eating and nausea. Psychological condition such as anxiety, depression and stress do play a role in the recurrence of symptoms. Upper GI endoscopy is necessary in patients who presents with alarm symptoms suggestive of possible underlying organic condition before one makes the diagnosis of non ulcer dyspepsia. Pharmacological therapy using H2 receptor antagonist and proton pump inhibitors are effective for symptom relief. Patient's education and supportive care should be part of the management strategy in recurrent chronic dyspepsia.
    Matched MeSH terms: Deglutition Disorders/physiopathology*; Deglutition Disorders/therapy
  2. Koh KS, Chong VH, Yapp SK, Chong CF
    Med J Malaysia, 2012 Oct;67(5):522-3.
    PMID: 23770871
    Dysphagia is considered a warning symptom that requires exclusion of significant pathology such as oesophageal cancer, especially in elderly patients. Benign neoplasms of the oesophagus are rare. We report the case of a 69-year-old lady who presented with a five years history of infrequent intermittent dysphagia that had rapidly progressed over one month. This was associated with globus sensation, weight loss, intermittent episodes of stridor and aspiration pneumonia. Investigations revealed a large oesophageal lipoma in the proximal oesophagus extending down to the lower oesophagus. This was successfully resected via a left cervical approach. She remained well two years after the surgery.
    Matched MeSH terms: Deglutition Disorders*
  3. Jaafar MH, Mahadeva S, Morgan K, Tan MP
    J Nutr Health Aging, 2015 Feb;19(2):190-7.
    PMID: 25651445 DOI: 10.1007/s12603-014-0527-z
    The objective of this systematic review was to evaluate existing studies on the effectiveness of percutaneous endoscopic gastrostomy (PEG) feeding compared to nasogastric (NG) feeding for patients with non-stroke related dysphagia.
    Matched MeSH terms: Deglutition Disorders/complications; Deglutition Disorders/mortality; Deglutition Disorders/surgery; Deglutition Disorders/therapy*
  4. Tan SH, Balachandran R, Prepageran N
    Eur J Intern Med, 2019 02;60:e3-e4.
    PMID: 29759815 DOI: 10.1016/j.ejim.2018.05.012
    Matched MeSH terms: Deglutition Disorders/physiopathology*
  5. Kamal S, Kamaralzaman S, Sharma S, Jaafar NH, Chern PM, Hassan NI, et al.
    Nutrients, 2022 Dec 09;14(24).
    PMID: 36558401 DOI: 10.3390/nu14245241
    Individuals with cerebral palsy (CP) frequently present with multiple feeding problems, which may require food texture modification to ensure safe feeding. This review aims to explore the challenges individuals with CP and their caregiver's face and recommend modified food textures to ensure safety and improve the quality of life and nutritional status. A systematic search was carried out through four databases (i.e., EBSCO (Medline), PubMed, Science Direct, and Web of Science) between January 2011 and May 2022. Out of 86 articles retrieved, seven were selected based on keywords and seven other studies through manual search-five cross-sectional studies, two qualitative studies, one correlational study, one mixed method study, one case-control study, two sections of books, and two educational materials. The findings suggest that preparation and intake of food with modified texture play a necessary role in the safety of swallowing in addition to physical, social, and environmental aspects. Safety was found to be the crucial part of the food texture modification provision besides considering the stress of the caregivers and the nutritional status of individuals with CP. Currently, there are no standard guidelines available pertaining to food texture modification. This led to uncertainties in the dietary provision among caregivers, which may lead to undernourishment. Hence, standard guidelines relating to food texture modification that focuses on food preparation and menus with calorie and nutrient information are timely to be developed.
    Matched MeSH terms: Deglutition Disorders*
  6. Lim CT, Chew CT, Chew SH
    Ann Acad Med Singap, 1992 May;21(3):399-403.
    PMID: 1416791
    Most muscular dystrophies manifest as peripheral muscular weakness commencing at various age, however, oculopharyngeal muscular dystrophy (OPMD) is a rare hereditary disorder presenting in middle age with progressive dysphagia and bilateral blepharoptosis rather than peripheral muscular weakness. In the medical literature, OPMD has been well described in Canadians of French descent. So far, there is no publication of OPMD in the Malaysia-Singapore medical literature. This article documents this condition in a Chinese patient. A review of the literature is presented and the management of OPMD is discussed.
    Matched MeSH terms: Deglutition Disorders/etiology*; Deglutition Disorders/physiopathology; Deglutition Disorders/surgery
  7. Vamanshankar H, Nair AB, Rajan N
    Malays J Med Sci, 2011 Jan;18(1):72-5.
    PMID: 22135577
    Foreign bodies are a common problem seen in otolaryngological practice. Of the reported foreign bodies, metallic foreign bodies are a rare entity. One of the least common complications of foreign body ingestion is penetration and migration. We describe a case of a migrating metallic foreign body in a 50-year-old woman with a history of accidental ingestion causing odynophagia. In the present case, the foreign body migrated extraluminally into the carotid sheath. Our review of literature revealed that few such cases have been reported.
    Matched MeSH terms: Deglutition Disorders
  8. Ahmad, R., Ishlah, W., Norie A.
    The ultimate goal of treatment of glottic malignancy is eradication of the cancer and preservation of maximum function. Ideally this would mean return of normal speech, respiration and deglutition. The foundation of vertical partial laryngectomy (VPL) is based on the knowledge of laryngeal anatomy and an understanding of how cancers invade the larynx. The VPL surgery of the glottic cancer is based on oncological sound principles, which will be further disscussed in this article. For the purpose of description we briefly presented 3 of our cases that underwent vertical partial laryngectomy for glottic cancer.
    Matched MeSH terms: Deglutition
  9. Irfan, M., Khairi, M.D., Baharudin, A.
    Dysphagia is a common symptom in patients presenting to the otorhinolaryngolgy clinic. However, vascular causes (dysphasia lusoria) are relatively rare. W report a case of dysphagia caused by a saccular aneurysm of the descending thoraric aorta. The outline of management is discussed.
    Matched MeSH terms: Deglutition Disorders
  10. Saw HS, Lim KH, Singh J, Singham KT
    Med J Malaysia, 1979 Sep;34(1):48-51.
    PMID: 542152
    Matched MeSH terms: Deglutition Disorders/complications; Deglutition Disorders/etiology*; Deglutition Disorders/surgery
  11. Ling, Booi C.
    Ann Dent, 1995;2(1):-.
    Temporary obturator is necessary for maxillectomy procedures to minimise functional disabilities of speech and the swallowing of food and fluid following surgery.l.2 It also provides a base to hold surgical packing and/ or tissue conditioners in place. This packing helps to restore function and counter act contraction during healing of the ,tissues at the operated site. Dental clinicians are often faced with the problem of surgical staffs requesting an obturator for their patients at short notice.This article describes a fast technique of constructing an immediate surgical obturator.
    Matched MeSH terms: Deglutition
  12. Srinivas P, George J
    Age Ageing, 1999 May;28(3):321-2.
    PMID: 10475873
    PRESENTATION: A 72-year-old man complained of progressive dysphagia for solids associated with a sensation of foreign body in his throat for 2 years. A barium swallow showed a bridging osteophyte between C4 and C5 vertebrae indenting the oesophagus posteriorly and displacing it anteriorly.

    OUTCOME: He refused surgical intervention and was given dietary advice. After 6 months, his weight was steady and he was able to swallow semi-solid food without difficulty.

    Matched MeSH terms: Deglutition Disorders/etiology*
  13. Irfan Mohamad, Mohd Syafwan Mohd Soffian, Amran Mohamad
    Acute epiglottitis though relatively common in pediatric patients as compared to adults, present with almost similar clinical presentations. They include voice change, difficulty or painful swallowing and sometimes with upper airway obstruction. Physical finding of swollen epiglottis is difficult to be obtained owing to the danger of introducing laryngeal mirror into the oropharynx as to avoid contact spasm. The diagnostic thumb sign appearance on lateral neck radiograph is considered pathognomonic of epiglottitis. We report a case of an adult with clinical features and radiological finding of an acute epiglottitis, which did not resolve with antibiotic treatment. Subsequent imaging confirmed the presence of an abscess in the epiglottic mucosa.
    Matched MeSH terms: Deglutition; Deglutition Disorders
  14. Abu Zarim N, Zainul Abidin S, Ariffin F
    J Food Sci Technol, 2018 Nov;55(11):4522-4529.
    PMID: 30333649 DOI: 10.1007/s13197-018-3386-5
    Texture-modified food has become an important strategy in managing dysphagia. Pureed food is proven to be the safest texture due to its high viscosity which can slow down the rate of the food bolus during swallowing. In this study, texture-modified chicken rendang was developed according to Texture C (smooth puree) as described by the Australian standard for texture-modified food. Samples were added with five different thickeners (sago starch, tapioca starch, modified corn starch, xanthan gum and carboxymethyl cellulose gum) at three different concentrations (10, 20 and 30% w/w). Their rheological effects were analyzed through dynamic and steady shear test. Results obtained reveals that samples contained xanthan gum have higher structure rigidity and shear thinning behaviour, while carboxymethyl cellulose gum provides the highest viscosity as well as yield stress than other samples. In terms of concentration, a strong dependence of structural rigidity and viscosity of all prepared samples with amount of thickeners added was observed. Overall, based on its rheological properties, the addition of carboxymethyl cellulose gum at 30% concentration was found to be the most suitable thickener, to be incorporated in the texture-modified chicken rendang. Selecting a suitable food thickener in developing food for individual with dysphagia plays an important role to ensure the right texture and consistency for their safe consumption.
    Matched MeSH terms: Deglutition; Deglutition Disorders
  15. Johari HH, Khaw BL, Yusof Z, Mohamad I
    World J Clin Cases, 2016 Nov 16;4(11):375-379.
    PMID: 27900327
    Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract. We report 3 cases of extraluminal migration of fish bone and their complications, which were successfully managed. One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland, retropharyngeal and parapharyngeal abscess.
    Matched MeSH terms: Deglutition; Deglutition Disorders
  16. Elango S, Palaniappan SP, Lingam VS, George L
    Singapore Med J, 1990 Dec;31(6):624-6.
    PMID: 2281364
    Impaction of food usually occurs in patients having obstructive lesions of the oesophagus. The food bolus impaction normally occurs in patients older than 60 years of age. Though food bolus impaction in the oesophagus is not uncommon, food bolus in the oesophagus causing complete obstruction resulting in total dysphagia is rare. This is a case report of a woman who had complete obstruction of the oesophagus following impaction by a piece of meat. The various treatment modalities available for such a condition are discussed.
    Matched MeSH terms: Deglutition Disorders/etiology
  17. Lazarescu A, Chan WW, Gyawali CP, Lee YY, Xiao Y, Wu P
    Ann N Y Acad Sci, 2020 12;1481(1):108-116.
    PMID: 32875574 DOI: 10.1111/nyas.14453
    Esophageal dysphagia is a common symptom in adults. Fluoroscopic contrast studies, endoscopy, and esophageal manometry have been used in the diagnosis of esophageal dysphagia for many years. The diagnostic yield has been improved with new test protocols that highlight abnormal bolus transit in the esophagus and outflow obstruction, as well as new high-definition and high-resolution technical advances in equipment. Functional luminal impedance planimetry and the addition of impedance to high-resolution esophageal manometry have also allowed the assessment of new parameters to better understand esophageal structure and function. In this concise review, we describe the role and utility of various diagnostic modalities in the assessment of patients with esophageal dysphagia.
    Matched MeSH terms: Deglutition Disorders
  18. Nik Qisti, F., Shahrun Niza, A.S., Razrim, R.
    Aberrant right subclavian artery is a rare cause of dysphagia. This is a congenital anomaly with the right
    subclavian artery originating from the dorsal part of the aortic arch and coursing through the mediastinum
    between the esophagus and the vertebral column. We report a case of a patient with chronic dysphagia
    caused by this condition. We further discuss the case with regards to its clinical features and options of
    Matched MeSH terms: Deglutition Disorders
  19. Gendeh HS, Hashim ND, Mohammad Yunus MR, Gendeh BS, Kosai NR
    ANZ J Surg, 2018 09;88(9):937-938.
    PMID: 27122196 DOI: 10.1111/ans.13624
    Matched MeSH terms: Deglutition Disorders/diagnosis; Deglutition Disorders/etiology
  20. Kareem BA, Sofiyan M, Subramanian S
    Med J Malaysia, 2000 Sep;55(3):376-8.
    PMID: 11200721
    Dysphagia due to osteophytes in a young person is uncommon. We present a rare case of Forestier's disease causing dysphagia in a young lady without other bony involvement. The osteophytes were surgically removed and her symptoms resolved completely.
    Matched MeSH terms: Deglutition Disorders/etiology*; Deglutition Disorders/radiography
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