Sliced Jelly Whole Swallowing Reduces Deglutition Risk: A Novel Feeding Method for Patients with Dysphagia.

Publisher: Springer-Verlag Country of Publication: United States NLM ID: 8610856 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-0460 (Electronic) Linking ISSN: 0179051X NLM ISO Abbreviation: Dysphagia Subsets: MEDLINE

Original Publication: New York : Springer-Verlag, [c1986-

Deglutition Disorders*/physiopathology ; Deglutition*/physiology ; Gelatin*; Humans ; Male ; Female ; Aged ; Prospective Studies ; Middle Aged ; Aged, 80 and over ; Gels ; Fluoroscopy/methods ; Pharynx/physiopathology

Texture modification in the form of gels or jellies is used for patients with dysphagia. For over 20 years, our group has been using gelatin jellies, a type of gel, as a starting diet for patients with dysphagia. Gelatin jellies are served in a small-sliced form and swallowed whole. In sliced jelly whole swallowing (SJWS), sliced gelatin jelly (SGJ) passes through the pharynx in one lump without collapsing. This study aimed to examine the usefulness of SJWS. We analyzed the images of videofluoroscopic swallowing studies performed using the normalized residue ratio scale (NRRSv: vallecula, NRRSp: pyriform sinus), the penetration-aspiration scale (PAS), and pharyngeal transit time (PTT) in 50 patients with dysphagia and compared the results in a prospective study. SJWS had significantly less residue in both NRRSv and NRRSp than in moderately thickened liquid swallowing. No significant differences in PAS scores were found between SGJ and moderately thickened liquid. Additionally, no significant differences in PTT scores were noted between the two. This study demonstrated the usefulness of SJWS in improving swallowing safety in patients with dysphagia. Further studies are needed to evaluate the reproducibility of the test, the comparison of SGJ with other thickened liquids, and the safety of SJWS for different diseases.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

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JP20K11236 Japan Society for the Promotion of Science London

Keywords: Aspiration; Modified diet; Pharyngeal residue; Sliced gelatin jelly; Thickened liquid

9000-70-8 (Gelatin)
0 (Gels)

Date Created: 20240403 Date Completed: 20241003 Latest Revision: 20241003

20241004

10.1007/s00455-024-10674-6

38568345