Aerodigestive Care Coordination

child_aerodigestive.jpgFor children with complex airway and nutritional symptoms

Some of the medical symptoms that benefit from Aerodigestive care coordination.

  • Chronic cough
  • Noisy breathing
  • Feeding difficulties
  • Breathing problems
  • Gastroesophageal reflux
  • Difficulty gaining weight
  • Feeding aversion
  • Vocal cord dysfunction
  • Swallowing dysfunction
  • Airway obstruction
  • Eosinophilic esophagitis
  • Tracheostomy
  • Subglottic Stenosis
  • Aspiration related lung disease
  • Obstructive sleep apnea
  • Tracheomalacia
  • Laryngomalacia
  • Tracheoesophageal fistula
  • Esophageal atresia

 

Here is a list of tests that are frequently used to help diagnose and improve therapy for your child:

  • Direct laryngoscopy/bronchoscopy (DLB) – a look at the airway focusing on the larynx and trachea
  • Flexible bronchoscopy (Flex scope) – a look at the airway from the nose to the lower airways
  • Bronchoalveolar lavage (BAL) – a tool to see what bacteria might be in the lower airway. In brief, a small amount of salt water is intermixed with airway secretions and suctioned to recover any bacteria that might cause lower airway bronchitis
  • Esophagogastroduodenoscopy (EGD) – a look at the esophagus, stomach and duodenum
  • Triple endoscopy – care coordination in which the three studies listed above (DLB, Flex scope with BAL, and EGD) are performed at the same time to detect any airway, esophageal or stomach disease
  • pH/impedance probe - a test to screen for reflux disease
  • Modified barium swallow (MBS, swallow study) – a barium x-ray to evaluate swallowing function
  • Upper GI (UGI) – a barium x-ray that looks at anatomy of the esophagus, stomach and duodenum
  • Esophagram – a barium x-ray that looks specifically at the esophagus