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

Author:

Krasaelap Amornluck1,Duncan Daniel R.2,Sabe Ramy M. M.3,Bhardwaj Vrinda4,Lerner Diana G.5,Gold Benjamin D.6,Boesch Richard Paul7,Faure Christophe8,von Allmen Daniel9,Williams Dana10,Chiou Eric11,DeBoer Emily12,Hysinger Erik13,Maybee Jennifer14,Khlevner Julie15,Larson Kara16,Morris Kimberly17,Jalali Lauren2,McSweeney Maireade2,Brigger Matthew T.18,Greifer Melanie19,Rutter Michael20,Williams Nina21,Subramanyan Ram Kumar22,Ryan Matthew J.23,Acra Sari24,Pentiuk Scott25,Friedlander Joel26,Sobol Steven E.27,Kaul Ajay25,Dorfman Lev25,Darbari Anil28,Prager Jeremy D.29,Rosen Rachel2,Cocjin Jose T.8,Mousa Hayat25

Affiliation:

1. Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children’s Mercy Kansas City, Kansas City, MO

2. Aerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition, Boston Children’s Hospital, Harvard Medical School, Boston, MA

3. Department of Pediatric Gastroenterology, Hepatology and Nutrition, University Hospitals Rainbow Babies and Children’s Hospital, Cleveland, OH

4. Division of Gastroenterology, Hepatology and Nutrition, Children’s Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, CA

5. Division of Pediatric Gastroenterology, Hepatology and Nutrition, Medical College of Wisconsin, Milwaukee, WI

6. Children’s Center for Digestive Health Care, LLC, GI Care for Kids, LLC, Aerodigestive Center and Program, Children’s Healthcare of Atlanta, Atlanta, GA

7. Division of Pediatric Pulmonology, Department of Pediatrics and Adolescent Medicine, Mayo Clinic Children’s Center, Rochester, MN

8. Division of Pediatric Gastroenterology, Sainte-Justine University Health Center, Université de Montréal, Montréal, QC, Canada

9. Division of Pediatric Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

10. Department of Pediatric Gastroenterology and Nutrition, Phoenix Children’s Hospital, Phoenix, AZ

11. Division of Pediatric Gastroenterology, Hepatology & Nutrition, Department of Pediatrics, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX

12. Department of Pediatrics, Section of Pulmonary and Sleep Medicine, Children’s Hospital Colorado Breathing Institute, University of Colorado Denver, Aurora, CO

13. Pulmonary Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

14. Children’s Hospital Colorado, University of Colorado, Aurora, CO

15. Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian, New York, NY

16. Division of Otolaryngology, Boston Children’s Hospital, Boston, MA

17. Department of Speech Pathology, Rady Children’s Hospital, San Diego, CA

18. Division of Pediatric Otolaryngology, Department of Surgery, Rady Children’s Hospital San Diego, University of California San Diego, San Diego, CA

19. Department of Pediatrics, Division of Pediatric Gastroenterology, New York University Grossman School of Medicine, New York, NY

20. Division of Pediatric Otolaryngology, Aerodigestive and Esophageal Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

21. Center for Airway Disorders, Department of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, Boston, MA

22. University of Nebraska Medical Center, Children’s Hospital and Medical Center, Omaha, NE

23. Division of Gastroenterology, Hepatology and Nutrition, Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

24. Division of Pediatric Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center, Nashville, TN

25. Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

26. EvoEndo, Inc.

27. Division of Otolaryngology, Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

28. Children’s National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC

29. Department of Otolaryngology, University of Colorado School of Medicine; Pediatric Otolaryngology, Children’s Hospital Colorado, Aurora, CO.

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.

Publisher

Wiley

Subject

Gastroenterology,Pediatrics, Perinatology and Child Health

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