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. 2023 Oct 1;77(4):460-467.
doi: 10.1097/MPG.0000000000003882. Epub 2023 Jul 13.

Pediatric Aerodigestive Medicine: Advancing Collaborative Care for Children With Oropharyngeal Dysphagia

Amornluck Krasaelap  1 , Daniel R Duncan  2 , Ramy M M Sabe  3 , Vrinda Bhardwaj  4 , Diana G Lerner  5 , Benjamin D Gold  6 , Richard Paul Boesch  7 , Christophe Faure  8 , Daniel von Allmen  9 , Dana Williams  10 , Eric Chiou  11 , Emily DeBoer  12 , Erik Hysinger  13 , Jennifer Maybee  14 , Julie Khlevner  15 , Kara Larson  16 , Kimberly Morris  17 , Lauren Jalali  2 , Maireade McSweeney  2 , Matthew T Brigger  18 , Melanie Greifer  19 , Michael Rutter  20 , Nina Williams  21 , Ram Kumar Subramanyan  22 , Matthew J Ryan  23 , Sari Acra  24 , Scott Pentiuk  25 , Joel Friedlander  26 , Steven E Sobol  27 , Ajay Kaul  25 , Lev Dorfman  25 , Anil Darbari  28 , Jeremy D Prager  29 , Rachel Rosen  2 , Jose T Cocjin  8 , Hayat Mousa  25
Affiliations

Pediatric Aerodigestive Medicine: Advancing Collaborative Care for Children With Oropharyngeal Dysphagia

Amornluck Krasaelap et al. J Pediatr Gastroenterol Nutr. .

Abstract

Objectives: Aerodigestive disorders encompass various pathological conditions affecting the lungs, upper airway, and gastrointestinal tract in children. While advanced care has primarily occurred in specialty centers, many children first present to general pediatric gastroenterologists with aerodigestive symptoms necessitating awareness of these conditions. At the 2021 Annual North American Society for Pediatric Gastroenterology, Hepatology and Nutrition meeting, the aerodigestive Special Interest Group held a full-day symposium entitled, Pediatric Aerodigestive Medicine: Advancing Collaborative Care of Children with Aerodigestive Disorders. The symposium aimed to underline the significance of a multidisciplinary approach to achieve better outcomes for these complex patients.

Methods: The symposium brought together leading experts to highlight the growing aerodigestive field, promote new scientific and therapeutic strategies, share the structure and benefits of a multidisciplinary approach in diagnosing common and rare aerodigestive disorders, and foster multidisciplinary discussion of complex cases while highlighting the range of therapeutic and diagnostic options. In this article, we showcase the diagnostic and therapeutic approach to oropharyngeal dysphagia (OPD), one of the most common aerodigestive conditions, emphasizing the role of a collaborative model.

Conclusions: The aerodigestive field has made significant progress and continues to grow due to a unique multidisciplinary, collaborative model of care for these conditions. Despite diagnostic and therapeutic challenges, the multidisciplinary approach has enabled and greatly improved efficient, high-quality, and evidence-based care for patients, including those with OPD.

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Conflict of interest statement

Dr Friedlander is the Chief Medical Officer and Co-Founder of EvoEndo, Inc. He is an employee, stockholder, and on the board of directors of EvoEndo, Inc. He is co-inventor on several University of Colorado and EvoEndo, Inc patents and patent pendings related to virtual reality, endoscope design, endoscopic methods, endoscopic training methods, and its associated technologies. Dr Prager is a cofounder of EvoEndo, Inc. The remaining authors report no conflicts of interest.

References

    1. Shaw-Smith C. Genetic factors in esophageal atresia, tracheo- esophageal fistula and the VACTERL association: roles for FOXF1 and the 16q24.1 FOX transcription factor gene cluster, and review of the literature. Eur J Med Genet. 2010;53:6–13.
    1. Lal DR, Gadepalli SK, Downard CD, et al. Challenging surgical dogma in the management of proximal esophageal atresia with distal tracheoesophageal fistula: outcomes from the Midwest Pediatric Surgery Consortium. J Pediatr Surg. 2018;53:1267–72.
    1. Yasuda JL, Taslitsky GN, Staffa SJ, et al. Utility of repeated therapeutic endoscopies for pediatric esophageal anastomotic strictures. Dis Esophagus. 2020;33:1–9..
    1. Krishnan U, Mousa H, Dall’Oglio L, et al. ESPGHAN-NASPGHAN guidelines for the evaluation and treatment of gastrointestinal and nutritional complications in children with esophageal atresia-tracheoesophageal fistula. J Pediatr Gastroenterol Nutr. 2016;63:550–70.
    1. O’Shea JE, Foster JP, O’Donnell CP, et al. Frenotomy for tongue-tie in newborn infants. Cochrane Database Syst Rev. 2017;3:CD011065.