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The best known instrumental swallowing assessments are the modified barium swallow study also known as a videofluoroscopic swallowing study (VFSS) and the fiberoptic endoscopic evaluation of swallowing (FEES).
Health care practitioners may wish to conduct an instrumental swallowing assessment, such as a fibreoptic endoscopic evaluation of swallowing or a videofluoroscopic swallowing study for patients for whom there are sufficient resources to do so.
A clinical swallow evaluation or ‘bedside swallow evaluation’ can help you detect dysphasia. In this article, you’ll learn: The 5 steps of a clinical swallow evaluation. The role of a swallowing screen. What to do if you suspect dysphagia.
Over the past 30 years, Fiberoptic Endoscopic Evaluation of Swallowing (FEES) has become a GOLD STANDARD of swallowing evaluation alongside traditional Modified Barium Swallow Studies (MBS or "video x-ray").
- Why Do I Need A Vfss?
- What Happens During The Vfss?
- What Are The Risks?
- Are There People Who Are Not Suitable For Vfss?
- Do I Need Any Special Preparation Before The Examination?
- What Happens After The Vfss?
- What If I Have A Percutaneous Endoscopic Gastrostomy (PEG)?
- I Need An Ambulance. Can You Arrange this?
- Further Information
Your speech and language therapist has assessed that you or your child might have having swallowing difficulties. The x-ray will determine if there is a problem and if so what type of food and fluid are safest to eat, and whether there are any techniques to increase swallowing safety.
You will be cared for by one or two speech and language therapists and a radiographer. The speech and language therapists will prepare the food and fluids, guide you or your child through the assessment and interpret the findings. The radiographer will operate the x-ray machine and recording equipment, take the x-ray and discuss interpretation with...
We are all exposed to natural background radiation every day of our lives. Each x-ray examination gives us a small additional dose. This dose varies with each type of examination. Everything is done within the x-ray department to minimise this dose.
You will not be suitable to have a VFSS if you are: 1. Pregnant 2. Medically unstable and fluctuating level of consciousness 3. Unable to maintain an appropriate position 4. Extreme distress or anxiety 5. Are known to have had an adverse reaction to barium before 6. Are nil-by-mouth for reasons other than swallowing problems.
You do not need to go without food or fluids before the examination as it is not essential to have an empty stomach.
We will discuss the results with you briefly immediately after the x-ray. Your report will be sent to your speech and language therapist and your GP. Your speech and language therapist will get in touch with you to discuss the results and implications in more detail if this is needed. We can send a copy of the report to you.
If you or your child have a PEG, please let the speech and language therapist know when you arrive. Please bring equipment with you to flush your PEG following the assessment. You will need to flush the PEG 2-3 times during the 2 hours following the assessment using 50mls of water. If you have any concerns following the assessment about your PEG pl...
If you need an ambulance, you (or someone on your behalf) must contact North East Ambulance Patient Transport Service on 0191 264 8870 Please contact them with at least three working days’ notice. Please inform the department if you are arriving by ambulance.
For any queries please contact your speech and language therapist. Denton Park: 0191 213 8841 RVI: 0191 282 4324 Freeman: 0191 213 8270
What is a bedside swallow exam for dysphagia? A bedside swallow exam, also known as a bedside swallow screen, is a test to see if you might have dysphagia . When you have dysphagia, you have trouble swallowing. This condition can sometimes lead to serious problems.
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What is a videofluoroscopic swallowing study (VFSS)?
Dec 13, 2022 · The videofluoroscopic swallow study is an important initial diagnostic study for dysphagia. It demonstrates the dynamic motion of the upper aerodigestive pathway in real-time with the motion of food bolus passing through it.
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