Disfajisi olan çocukların değerlendirilmesi

Abstract

Purpose: Difficulty in swallowing; It is a symptom that occurs as a result of mechanical inhibition of the transfer of ingested food from the mouth to the stomach. It can be due to acute and chronic diseases. It is presented because of the limited number of studies comparing the characteristics of both types of oropharyngeal and esophageal dysphagia in healthy and chronically ill children in the pediatric population.
 Materials and Methods: 201 pediatric patients admitted with dysphagia between May 2019 and November 2020 were included. They were grouped according to the types of dysphagia.
 Results: Group-1 consisted of 80 pediatric patients with oropharyngeal dysphagia, while group-2 consisted of 121 pediatric patients with esophageal dysphagia. 51.7% of the patients were female, mean age was 9.4 years. While all patients in Group-2 had solid food dysphagia, Group-1 had 27% liquid and 53% solid-liquid dysphagia. Percutaneous endoscopic gastrostomy tube for 50 pediatric patients who could not be fed safely; A nasogastric feeding tube was placed in 4 children. Esophagogastroduodenoscopy was performed in 72.6% of the patients, and esophageal pathology was detected in 55.4%.
 Conclusions: Although the incidence of dysphagia is high in children with chronic diseases, it should not be forgotten that it can also be seen in healthy children and may be associated with treatable