presented by Michael Groher
In this course, the participant will apply their knowledge of gastro-esophageal disease (GERD) to better understand and evaluate potential disorders of the upper esophageal sphincter. Patterns of presentation of patients with varying types and severity levels of GERD will be discussed, and the participant will have the opportunity to utilize and apply theoretical knowledge in an interactive case study activity. This is the third in a four course series by Dr. Groher. Please make sure to watch:
Disorders of the Esophagus for the Speech-Language Pathologist
Treatment Approaches to Upper Esophageal Sphincter Disorders
Michael Groher is an Emeritus Professor of the Department of Communicative Disorders at the University of Redlands in Redlands, California. Dr. Groher has spent most of his career working as a medical speech pathologist in acute and long-term care settings. The majority of his hospital work was done for the Department of Veterans Affairs in Seattle/Tacoma, New York, and Tampa. He is best known for his pioneering work with patients who have swallowing disorders. The majority of his work is summarized in three texts: Dysphagia: Diagnosis and Management (three editions), Introduction to Adult Swallowing Disorders, and Clinical Management of Dysphagia in Adults and Children, second edition. Dr. Groher is an ASHA Fellow and Honors recipient as well as a past founding associate editor for the journal Dysphagia. He is an honorary member of the Japanese Society of Dysphagia Rehabilitation.
In the first chapter of this course, Dr. Groher explains the clinical spectrum of GERD, from physiological reflux to complicated esophagitis. Participants will learn the pathophysiology of GERD, mechanism of reflux due to hiatal hernia, and common facts regarding GERD.
Dr. Groher explains the relationship of GERD and UES, and why it is important for speech-language pathologists to consider undiagnosed, undetected, or histories of GERD in patients with cervical complaints. Participants will review demographic data and draw conclusions regarding GERD and patients who complain of UES disorders.
GERD treatment, including symptom controls and motility enhancers, are discussed in this chapter. Participants will discuss treatment evidence, learn how to evaluate patients, and review esophageal screening.
Dr. Groher presents the case study of a 80-year-old male who comes into the clinic with vague complaints of progressive solid and liquid dysphagia without weight loss. Test your knowledge gained from the course as you work your way through this interactive learning activity. Remember to download the worksheet and pause the video to record your answers.
Dr. Groher discusses the pathophysiology of GERD, the UES and GERD, and treatment of GERD with speech-language pathologist Dr. Robert M. Miller.