Richa Agrawal¹, Neha Rai², Shrikant Phatak¹*, Sameer Nivsarkar¹, Abhik Sikdar¹ and Nitika Yadav¹

¹Consultant, Department of ENT, Choithram Hospital and Research Centre, Indore, Madhya Pradesh, India
²Consultant, Department of Neurology, Choithram Hospital and Research Centre, Indore, Madhya Pradesh, India

*Corresponding Author: Shrikant Phatak, Consultant, Department of ENT, Choithram Hospital and Research Centre, Indore, Madhya Pradesh, India.

Received: July 15, 2026; Published: July 30, 2026

Abstract

Stroke is a frequent cause of neuromuscular dysphagia. Dysphagia is seen in more than 50% of the stroke survivors. Patients with post stroke dysphagia have a threefold increased risk of developing early aspiration pneumonia. Swallowing evaluation in cases of stroke is usually done clinically at bedside but it lacks adequate sensitivity and specificity and technique is poor in detecting silent aspiration, therefore an objective evaluation of swallowing by endoscopy is desirable. Functional Endoscopic Evaluation of Swallowing (FEES) is now the gold standard for visualizing and evaluating the pharyngeal phase of swallowing. The endoscopic finding indicative of dysphagia was premature spillage, penetration, aspiration and post swallow residue. These findings served as excellent parameters in deciding safe initiation of oral feeding in stroke patients. We hereby present 59 such cases of post stroke dysphagia evaluated by FEES technique.

Keywords: Stroke; Dysphagia; Swallowing Evaluation; FEES

References

1. Smithard DG., et al. “Complications and outcome after acute stroke. Does dysphagia matter?” Stroke 7 (1996): 1200-1204.
2. Mann G., et al. “Swallowing function after stroke: prognosis and prognostic factors at 6 months”. Stroke 4 (1999): 744-748.
3. Aviv JE., et al. “The safety of flexible endoscopic evaluation of swallowing with sensory testing (FEESST): an analysis of 500 consecutive evaluations”. Dysphagia 1 (2000): 39-44.
4. Langmore SE., et al. “Endoscopic and video fluoroscopic evaluations of swallowing and aspiration”. Annals of Otology, Rhinology and Laryngology8 (1991): 678-681.
5. Leder SB., et al. “Fiberoptic endoscopic evaluation of dysphagia to identify silent aspiration”. Dysphagia 1 (1998): 19-21.
6. Wu CH., et al. “Evaluation of swallowing safety with fiberoptic endoscope: comparison with video fluoroscopic technique”. Laryngoscope 3 (1997): 396-401.
7. Aviv JE. “Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia”. Laryngoscope4 (2000): 563-574.
8. Langmore SE., et al. “Fiberoptic endoscopic examination of swallowing safety: a new procedure”. Dysphagia4 (1988): 216-219.
9. Paciaroni M., et al. “Dysphagia following Stroke”. European Neurology3 (2004): 162-167.
10. Sun F., et al. “Characteristics of post-stroke dysphagia: A retrospective study based on FEES”. Brain Behavior8 (2923): e3161.
11. Foote AG and Thibeault SL. “Sensory Innervation of the Larynx and the Search for Mucosal Mechanoreceptors”. Journal of Speech, Language, and Hearing Research2 (2021): 371-391.
12. Yang QL., et al. “Correlation between lesion location and dysphagia characteristics in post-stroke patients”. Journal of Stroke and Cerebrovascular Diseases6 (2024): 107682.

Citation

Citation: Shrikant Phatak., et al. “Post Stroke Dysphagia: An Endoscopic Evaluation". Acta Scientific Neurology 9.8 (2026): 29-34.

Copyright

Copyright: ©2026 Shrikant Phatak., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.