Satu Kasus Diagnostik Disfagia pada Bayi dengan Pemeriksaan FEES (Flexible Endoscopy Evaluation of Swallowing

A case of dysphagia diagnostic in baby with FEES (Flexible endoscopy evaluation of swallowing)

Authors

  • Nila Santia Dewi Program Studi Ilmu Kesehatan Telinga Hidung Tenggorokan–Kepala Leher, Fakultas Kedokteran Universitas Diponegoro Semarang, Indonesia
  • Rery Budiarti Program Studi Ilmu Kesehatan Telinga Hidung Tenggorokan–Kepala Leher, Fakultas Kedokteran Universitas Diponegoro Semarang, Indonesia
  • Muyassaroh Program Studi Ilmu Kesehatan Telinga Hidung Tenggorokan-Kepala Leher, Fakultas Kedokteran Universitas Diponegoro Semarang, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v9i2.781

Keywords:

Disfagia pada bayi, Videofluoroscopic Swallowing Study, Fiberoptic Endoscopic Evaluation of Swallow.

Abstract

Latar belakang : Disfagia adalah gangguan proses menelan yang dapat mengganggu keselamatan dan kecukupan nutrisi. Disfagia pada bayi terjadi 85% pada anak-anak penyandang cacat dan 5% anak-anak perkembangan biasa. Tujuan penulisan laporan kasus ini untuk mengetahui sejak dini penyebab disfagia pada bayi sehingga dapat dilakukan tatalaksana segera agar tidak mengganggu pertumbuhan dan perkembangan bayi.

Laporan kasus : Dilaporkan satu kasus anak laki-laki usia 2 bulan dengan disfagia fase orofaringeal e.c curiga komplikasi iatrogenik dan perilaku. Hasil pemeriksaan Fiberoptic Endoscopic Evaluation of Swallow (FEES) didapatkan kesan kelemahan otot daerah sinus piriformis sisi kiri.

Pembahasan : Disfagia pada bayi dapat merugikan dan berpengaruh terhadap asupan nutrisi makanan sehingga mengganggu pertumbuhan dan perkembangan anak. Penyebab disfagia pada bayi yaitu prematur, kelainan neurologi, masalah maternal & perinatal, abnormalitas kongenital, gangguan pernafasan & jantung, gangguang saluran cerna, dan komplikasi iatrogenik. Diagnosis disfagia pada bayi ditegakkan dengan evaluasi klinis, instrumental alat dengan pemeriksaan Videofluoroscopic Swallowing Study (VFSS) sebagai standar emas dan Fiberoptic Endoscopic Evaluation of Swallow (FEES) sebagai alternatif.

Simpulan : Disfagia pada kasus ini termasuk disfagia fase orofaringeal dicurigai terjadi karena komplikasi iatrogenik (pemakain NGT) dengan FEES sebagai pemeriksaan penunjang.

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References

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Pamela. D. Disorders Affecting Feeding and Swallowing in Infants and Children. In: Michael E. Groher MAC, editor. Dysphagia Clinical Management in Adults and Children. Second edition. ed. United States of America: Elsevier; 2016. p. 271–315.

Reynolds J , Carroll S, Sturdivant C. Fiberoptic Endoscopic Evaluation of Swallowing. A Multidisciplinary Alternative for Assessment of Infants With Dysphagia in the Neonatal Intensive Care Unit. Clinical Issues in Neonatal Care. 2016;Vol. 16(1):37–43.

Miller CK. Updates on paediatric feeding and swallowing. Current Opinion in Otolaryngology & Head and Neck Surgery. 2014;17:p.194–99.

Pamela. D. Treatment of Feeding and Swallowing Difficulties in Infants and Children. In: Michael E. Groher MAC, editor. Dysphagia Clinical Management in Adults and Children. Second edition. ed. United States America: Elsevier.; 2016. p. 325–50.

Dodrill P. Feeding Problems and Oropharyngeal Dysphagia in Children. Journal of Gastroenterology and Hepatology Research. 2014;Vol. 3(5).

Additional Files

Published

2022-07-30

How to Cite

1.
Dewi NS, Budiarti R, Muyassaroh M. Satu Kasus Diagnostik Disfagia pada Bayi dengan Pemeriksaan FEES (Flexible Endoscopy Evaluation of Swallowing: A case of dysphagia diagnostic in baby with FEES (Flexible endoscopy evaluation of swallowing). Medica Hospitalia J. Clin. Med. [Internet]. 2022 Jul. 30 [cited 2024 May 3];9(2):242-50. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/781

Issue

Vol. 9 No. 2 (2022): Med Hosp; Juli 2022

Section

Case Report

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Copyright (c) 2022 Nila Santia Dewi, Rery Budiarti, Muyassaroh

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