Provider of mobile Fiberoptic Endoscopic Evaluation of Swallowing (FEES) in the Pacific Northwest!
Northwest Mobile FEES
NW Mobile FEES is a subsidiary of Idaho Dysphagia Specialists, PLLC
Literature Comparing Efficacy of Endoscopic and Fluoroscopic Swallow Evaluations:
Crary, M.A., Baron, J. (1997) Endoscopic and Fluoroscopic Evaluations of Swallowing: Comparison of Observed and Inferred Findings. Dysphagia, 12(2).
Langmore, S.E., Schatz, K., & Olsen, N. (1991). Endoscopic and video fluoroscopic evaluations of swallowing and aspiration. Annals of Otalgia, Rhinology & Laryngology. 100(8), 678-681.
Mu, C.H., Hsiao, T.Y., Chen, J.C., Chang, Y.C., &Lee, S.Y. (1997). Evaluation of swallowing safety with fiberoptic endoscope: Comparison with video fluoroscopic technique. Laryngoscope, 107, 396-401.
Smithard, D.G., O’Neill, P.A., Park, C., et al. (1998) Can bedside assessment reliably exclude aspiration following acute stroke? Age and Ageing, 27i(2), 99-106.
Literature Supporting Additional Information Obtainable through FEES:
Aviv, J.E. (2000). Prospective, randomized outcome study of endoscopy vs. modified barium swallow in patients with dysphagia. Laryngoscope, 100, 563-574.
Kelly, A.M. (2007). Assessing penetration and aspiration: How do videofluoroscopy and fiberoptic endoscopic evaluation of swallowing compare? The Laryngoscope, 117, 1732-1727.
Takahashi, N, Kikutani, T, Tamura, F., Groher, M., & Kuboki, T. (2012). Videoendoscopic assessment of swallowing function to predict the future incidence of pneumonia of the elderly. Journal of Oral Rehabilitation, 39; 429-437.
Literature Examining Safety of FEES:
Of the potential risks associated with endoscopy including gagging, epistaxis, laryngospasm, and vasovagal response; a mild case of epistaxis is the most prevalent.
FEES has proven to be a safe and well tolerated method of assessing swallow function when performed by a trained Speech Language Pathologist
Through Susan Langmore’s literature search on the safety of FEES, she concludes the rate of complications associated with FEES is less than 1% overall.
Aviv, J.E., Kaplan, S.T., Thompson, J.E., Spitzer, J., Diamond, B., Close, L.G. The safety of flexible endoscopic evaluation of swallowing with sensory testing: an analysis of 500 consecutive evaluations. Dysphagia. 2000;15:39-44.
Aviv, J.E., Murray, T., Zschommler, A., Cohen, M., Gartner, C. Flexible endoscopic evaluation of swallowing with sensory testing: patient characteristics and analysis of safety in 1340 consecutive examinations. Annals of Otology, Rhinology & Laryngology. 2005;114:173-176.
Cohen, M.A., Setzen, M., Perlman, P.W., Ditkoff, M., Mattucci, K.F., Guss, J. The safety of flexible endoscopic evaluation of swallowing with sensory testing in an outpatient otolaryngology setting. Laryngoscope. 2003;113:21-24.
Warnecke, T., Teismann, I., Oslenber, S., Hamacher, C., Ringelstein, E.B., Schabitz, W.R., & Dziewas, R. (2009). The safety of fiberoptic endoscopic evaluation of swallowing in acute stroke patients. Retrieved July 18, 2009 from www.stroke.ahajournals.org.