2026-04-13T06:36:44Zhttps://recercat.cat/oai/requestoai:recercat.cat:11351/135612026-03-16T11:41:08Zcom_2072_378070com_2072_378040col_2072_378092
RECERCAT
author
MARI, AMIR
author
Calabrese, Francesco
author
Pasta, Andrea
author
Lorenzon, Greta
author
Weusten, Bas
author
Keller, Jutta
author
Barber Caselles, Claudia
author
Serra, Jordi
2025-08-21T09:51:06Z2025-08-21T09:51:06Z2025-07
Delphi consensus; Esophageal motility disorders; High resolution manometryConsenso Delphi; Trastornos de la motilidad esofágica; Manometría de alta resoluciónConsens Delphi; Trastorns de la motilitat esofàgica; Manometria d'alta resolucióDysphagia is a prevalent symptom of the upper gastrointestinal tract causing health related consequences, impacting quality of life and is associated with global economic burden. Swallowing difficulties are classified into oropharyngeal dysphagia (OD) and esophageal dysphagia. Despite its clinical importance, dysphagia is associated with several uncertainties regarding its optimal diagnostic work-up and management, particularly, considering the progress with diagnostic modalities and technologies. A Delphi consensus was performed with experts from various disciplines who conducted a literature summary and voting process on 41 statements. Quality of evidence was evaluated using the grading of recommendations, assessment, development, and evaluation criteria. Consensus was reached for all the statements. The panel agreed with the definition and prevalence of esophageal and OD types. The role of endoscopy, high-resolution manometry, EndoFLIP, barium swallow and other imaging tests in evaluating esophageal dysphagia has reached overall strong agreement. Videofluoroscopic swallow study, alongside fiber-endoscopic evaluation of swallowing, as the methods of choice for the instrumental assessment of oropharyngeal dysfunction is a strong recommendation. Regarding treatment, a weak recommendation was achieved for the use of PPIs, calcium-channel blockers, nitrates, phosphodiesterase type 5 inhibitors, antidepressants or peppermint oil for the treatment of hypercontractile esophagus. A strong recommendation exists for endoscopic and surgical treatment of achalasia, while a weak recommendation is provided for other esophageal motility disorders. Regarding OD, a weak recommendation was achieved for swallow therapy, to improve swallowing mechanics, reduce symptoms, and enhance quality of life. Swallow therapy could be more effective when using validated assessment tools, consistent treatment parameters, and considering long-term follow-up. A multinational group of European experts summarized the current state of consensus on the definition, diagnosis, and management of dysphagia.This consensus was supported by a grant from United European Gastroenterology.
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
Decisió, Presa de
Mètode Delphi
Trastorns de la deglució - Tractament
Pacients - Satisfacció
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Manometry
DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Esophageal Diseases::Deglutition Disorders
Other subheadings::Other subheadings::/therapy
PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus
INFORMATION SCIENCE::Information Science::Systems Analysis::Delphi Technique
HEALTH CARE::Environment and Public Health::Public Health::Epidemiologic Measurements::Demography::Health Status::Quality of Life
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::manometría
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades del esófago::trastornos de la deglución
Otros calificadores::Otros calificadores::/terapia
PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso
CIENCIA DE LA INFORMACIÓN::Ciencias de la información::análisis de sistemas::técnica Delfos
ATENCIÓN DE SALUD::ambiente y salud pública::salud pública::medidas epidemiológicas::demografía::estado de salud::calidad de vida
Esophageal and Oropharyngeal Dysphagia: Clinical Recommendations From the United European Gastroenterology and European Society for Neurogastroenterology and Motility
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion