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[Dysphagia] JCAHO question


  • Subject: [Dysphagia] JCAHO question
  • From: otto at email.chop.edu (Staci Otto)
  • Date: Fri, 08 Jun 2007 09:24:32 -0400

Is anybody who is using the Kay Swallow workstation encountering difficulty with storing it in the radiology room between patients?  We're being told (only initially and we're continuing to find the original source to confirm and verify) that it cannot be stored in the room between patients- just wondering if anyone else is dealing with this or has any other info
thanks

Staci Otto MS CCC-SLP
Senior Speech Pathologist
Center for Childhood Communication
Children's Hospital of Philadelphia
215-590-7636
fax # 215-590-5641


>>> Irene Campbell-Taylor <eripley at yahoo.com> 06/08/07 8:32 AM >>>

Pharyngoesophageal (Zenker's) diverticulum: case report. East Afr Med J. 2002 Jan;79(1):54-5.
Jani PG.
Pharyngoesophageal pulsion diverticulum is the most common of all oesophageal diverticuli and is characterised by dysphagia, regurgitation, gurgling sounds in the neck and aspiration. This is a report of an 80-year old female who presented with progressive dysphagia, weight loss and recurrent bouts of pneumonitis. A barium swallow showed a pharyngoesophageal diverticulum and an upper endoscopy confirmed a wide ostium and no other pathology. She underwent surgical pharyngoesophageal diverticulectomy and cricopharyngeal myotomy under general anaesthesia and made complete recovery with total relief of dysphagia.
   
  
[Zenker's diverticulum--surgical management in a series of six cases]
Rev Med Chir Soc Med Nat Iasi. 2004 Apr-Jun;108(2):397-402.
Lupa?cu C, T?rcoveanu E, Chifan M, Moldovanu R, Ple?a C, Crumpei F, Nicolescu S, Lupa?cu C.
Zenker's diverticulum is a protrusion of the posterior mucosal wall of the hypopharynx through the weakened muscular layer, between the oblique fibers of the inferior constrictor of the pharynx and the transverse fibers of the cricopharyngeal muscle (Killian's dehiscence). Pharyngoesophageal pulsion diverticulum is the most common of all the oesophageal diverticuli and is characterised by dysphagia, regurgitation, gurling sounds in the neck and aspiration. The current principles of surgical management includes a pharyngoesophageal myotomy accompanied by a diverticulectomy or a diverticulopexy. The same principles apply in both open approach and the endoscopic methods.
   
Esophageal diverticula also tend to make similar sounds.

Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com 
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