Abstract
Dysphagia is a silent killer after stroke. Swallowing disorders affect more than half of 800,000 people who have a stroke every year in the United States. Dysphagia frequently results in pneumonia, malnutrition, and dehydration, which can lead to increased mortality and poor outcome.1 To prevent these complications, enteral tube feeding is indicated in selected cases. Tube feeding carries some risk and can lead to discomfort, local infections, bleeding, and the need to restrain patients. To balance risks and benefits, guidelines2,3 recommend nasogastric tube (NGT) feeding if oral intake remains insufficient for 1 week or longer. If dysphagia persists for more than 4 weeks, patients warrant direct enteral tube (DET) feeding with percutaneous endoscopic gastrostomy (PEG) or jejunostomy.
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