Oral transit time in children with neurological impairment indicated for gastrostomy
Tempo de trânsito oral na criança com acometimento neurológico indicada à gastrostomia
Paula Cristina Cola; Débora Afonso; Cleber Gustavo Rotoli Baldelin; Claudio José Rubira; Francisco de Agostinho Junior; Roberta Gonçalves da Silva
Abstract
Purpose: The objective of the present study was to describe the total oral transit time (TOTT) of children with neurological impairment (CNI) and with an indication of gastrostomy.
Method: A cross-sectional clinical study was conducted on 15 children (10 male and 5 female ranging in age from 1 to 14 years; mean 5.7 years) with CNI and gastrostomy indication. The patients were monitored by a Multidisciplinary Group of Pediatric Gastroenterology of Universidade de Marília – UNIMAR, which 13 of them with previous exclusive oral feeding and 2 fed by a nasogastric tube. Swallowing was analyzed by videofluoroscopy swallowing study and 19 images of TOTT were obtained using specific software, with analysis of pureed food (13 images) and liquid (six images). TTOT was categorized as short or long based on definitions already evidenced in the literature.
Results: The mean and standard deviation of TOTT values was 10.75 s and 11.76 s for pureed food and 4.22 s and 1.54 s for liquid food.
Conclusion: The total oral transit time of pureed or liquid consistency was long in children with neurological involvement and with an indication of gastrostomy.
Keywords
Resumo
Objetivo: O objetivo deste estudo foi descrever o tempo de trânsito oral total (TTOT) da deglutição em diferentes consistências de alimento na criança com acometimento neurológico (CAN) e com indicação de gastrostomia.
Método: Estudo clínico transversal incluiu 15 indivíduos com CAN e indicação de gastrostomia, sendo 10 do sexo masculino e cinco do sexo feminino, 13 com alimentação via oral exclusiva e dois com sonda nasogástrica, faixa etária de um a 14 anos, média de 5,7 anos, acompanhados no Grupo Multidisciplinar de Gastroenterologia Pediátrica da Universidade de Marília-UNIMAR. A deglutição foi analisada por estudo videofluoroscópico da deglutição. Foram mensuradas 19 imagens do tempo de trânsito oral total (TTOT) da deglutição, por software específico, utilizando alimento pastoso (13 imagens) e alimento líquido (seis imagens). O TTOT foi categorizado em curto ou longo baseado em definições já evidenciadas na literatura.
Resultados: A média e o desvio padrão para o TTOT foram, respectivamente, 10,75s e 11,76s para o pastoso e 4,22s e 1,54s para o líquido.
Conclusão: O tempo de trânsito oral total é longo nas consistências pastosa e líquida em crianças com acometimento neurológico e com indicação de gastrostomia.
Palavras-chave
Referências
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Submetido em:
02/10/2018
Aceito em:
28/05/2019
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