You are now viewing our public site. Back to Dashboard

Esophageal Dysphagia: Role of the Speech Pathologist

presented by Barbara Pisano Messing

Accrediting Body:

Target Audience:

Levels:
Disclosure Statement:

Financial: Barbara Pisano Messing receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Barbara Pisano Messing has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
This course gives students an overview of esophageal disorders and the implications for speech pathologists in the diagnosis and management of esophageal dysphagia. A brief review of specific esophageal abnormalities commonly impacting dysphagia is presented. Participants will learn to identify the significance of the interrelationships between oral, pharyngeal, and esophageal disorders on dysphagia diagnosis and management. Instrumental evaluation tools and protocols will be addressed. This course is appropriate for speech pathologists responsible for the management of patients with swallowing disorders in any setting, but particularly targets those in acute medical and rehabilitation settings.

Meet Your Instructor

Barbara Pisano Messing, MA, CCC-SLP, BCS-S, FASHA, PhD Candidate

Barbara Pisano Messing, MA, CCC-SLP, BCS-S, FASHA, is the Director of the Milton J. Dance, Jr. Head and Neck Center, Johns Hopkins Head & Neck Surgery, and Johns Hopkins Voice Center located at GBMC in Baltimore, Maryland. She is a practicing medical speech pathologist with 30 years of experience. She is recognized as a clinical…

Read full bio

Chapters & Learning Objectives

Download Learning Objectives

1. Predictors and Indicators of Esophageal Dysphagia: Differential Diagnosis

The interrelationships between the oral, pharyngeal, and esophageal disorders must be considered during the evaluation process. Differential diagnoses of oropharyngeal and esophageal dysphagia rely on thorough patient history, patient complaints, signs and symptoms, and findings from the instrumental evaluation. However, the patient’s clinical complaints and reports regarding the site of dysphagia may be unreliable and do not necessarily correlate with the actual problem. This chapter covers predictors and indications for esophageal dysphagia.

2. Esophageal Anatomy

This chapter discusses the normal anatomy and physiology of the esophagus. It is important for the speech pathologist to understand normal esophageal structure and function in order to identify, along with the radiologist, any abnormalities.

3. Esophageal Motility Disorders

Esophageal structural and motility disorders contribute to esophageal dysphagia and dysfunction. It is important to classify disorders based upon structural or functional findings. Speech pathologists need to be able to identify esophageal disorders that contribute to esophageal dysphagia. Diagnostic procedures are critical in detecting anatomic and motility disorders (videofluoroscopy, manometry, endoscopy, imaging). This chapter briefly reviews structural and esophageal motility disorders and appropriate diagnostic options.

4. Esophageal Structural Disorders

Esophageal dysphagia involves appropriate diagnosis and medical management. The medical management of esophageal dysphagia may involve a multidisciplinary team (gastroenterologist, radiologist, head and neck surgeon, and the speech pathologist). This session will review esophageal structural and functional abnormalities, along with radiographic findings.

5. Esophageal Disorders: Inflammatory

There are numerous etiologies that contribute to esophageal dysphagia. Appropriate medical management of esophageal dysphagia may involve a multidisciplinary team (gastroenterologist, radiologist, head and neck surgeon, and the speech pathologist). This session will review esophageal disorders related to an inflammatory process or cause, along with radiographic images.

6. Esophageal Disorders, Secondary Motility Disorders, and Functional Disorders

Multifactorial causes contribute to esophageal dysphagia, which impacts esophageal motility. Functional esophageal disorders consist of a disease category that presents with esophageal symptoms. Although swallow therapy is not indicated in these cases, the speech pathologist can provide diet and lifestyle recommendations that may improve the patient’s symptoms. This session will review esophageal disorders related to symptoms caused by other disorders, such as gastroesophageal reflux disease.

More Courses in this Series

Head and Neck Cancer: Basics for the Speech Pathologist

Presented by Barbara Pisano Messing, MA, CCC-SLP, BCS-S, FASHA, PhD Candidate

Head and Neck Cancer: Basics for the Speech Pathologist

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course gives an overview of head and neck cancer (HNC) from diagnosis to treatment. Specific diagnostic workup and implications for treatment are discussed. Participants will learn to identify potential issues during the diagnostic workup for cancer staging and treatment decision-making. A brief overview of HNC risk factors, initial diagnostic processes (i.e., staging, etc.), indications for surgical and nonsurgical treatment, and effects of treatment on functional outcomes will be discussed. This course is appropriate for speech pathologists, oncology nurses, physical and occupational therapists, otolaryngologists, and medical residents working in any setting but particularly those in graduate training programs, acute care hospitals, cancer centers, and rehabilitation programs/centers.

View full course details

Management of Head and Neck Cancer Patients Postoperatively

Presented by Barbara Pisano Messing, MA, CCC-SLP, BCS-S, FASHA, PhD Candidate

Management of Head and Neck Cancer Patients Postoperatively

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course provides an overview of the management of head and neck cancer (HNC) patients postoperatively. A brief discussion on the indications for surgical and nonsurgical treatment will be presented, along with various surgical approaches and reconstruction options based on site and staging. This course is appropriate for speech pathologists, oncology nurses, physical and occupational therapists, otolaryngologists, and medical residents working in any setting. However, this course targets those in graduate training programs, acute care hospitals, cancer centers, and rehabilitation programs/centers.

View full course details

Sign up to receive exclusive content from industry leading instructors.