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• W2034387421 abstract "La déglutition est un phénomène complexe qui permet l’alimentation per os tout en protégeant les voies respiratoires. Les troubles de la déglutition sont fréquents, portent sur l’alimentation solide et/ou liquide, et sont principalement dus à des affections neurologiques ou ORL. Ils ont un retentissement souvent majeur car ils altèrent la qualité de vie quotidienne des patients et de l’entourage et peuvent conduire à une dénutrition et une déshydratation, d’où un retentissement possible sur la survie. Le risque potentiel respiratoire est bien entendu important. Le bilan repose sur un entretien et un examen clinique attentifs, sur des examens complémentaires dont la référence est la radiovidéoscopie de déglutition, sur l’évaluation du retentissement en particulier nutritionnel. La prise en charge se fait idéalement en multidisciplinarité, regroupant le médecin, l’orthophoniste, le diététicien, le dentiste, dans certains cas le chirurgien, et intègre de manière incontournable le personnel paramédical et l’entourage du patient. La mise en nutrition entérale est une solution en cas de problèmes respiratoires récurrents ou sévères, de dégradation de l’état nutritionnel malgré l’enrichissement de l’alimentation, les modifications de texture ou l’utilisation de compléments oraux, de durée de repas trop élevée. Swallowing is a complex phenomenon, allowing per os feeding but with a protection of respiratory tract. Swallowing disorders are frequent, involve liquids, solids or theses two textures, and are mainly caused by neurological or otorhinolaryngological diseases. They may have severe consequences, like an alteration of quality of life for patients or their relatives, an increased risk of aspiration, of malnutrition or dehydration, and finally a possible decrease of survival. Assessment includes careful questioning and physical examination. The reference complementary investigation is videofluoroscopic evaluation. Nutritional assessment is mandatory. Taking care of swallowing disorders in a multidisciplinary manner is recommended, with interventions of physician, speech therapist, dietician, sometimes dentist or surgeon, and needs a strong contribution of the paramedical staff and the patient relatives. Enteral nutrition is recommended when repeated or severe respiratory complications occur, when the nutritional status is altered in spite of feeding enrichment, modulations of textures or use of oral nutritional supplements, or when the meals are too long." @default.
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• W2034387421 date "2011-12-01" @default.
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• W2034387421 title "Évaluation et prise en charge des troubles de la déglutition" @default.
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• W2034387421 doi "https://doi.org/10.1016/j.nupar.2011.09.001" @default.
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