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

Amornluck Krasaelap, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Mercy Kansas City, Kansas City, MO, U.S.A.
Daniel R. Duncan, Aerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, MA, U.S.A.
Ramy M. Sabe, Department of Pediatric Gastroenterology, Hepatology and Nutrition, University Hospitals Rainbow Babies and Children's Hospital, Cleveland, OH, U.S.A.
Vrinda Bhardwaj, Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, CA, U.S.A.
Diana G. Lerner, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Medical College of Wisconsin, Milwaukee, WI, U.S.A.
Benjamin D. Gold, Children's Center for Digestive Health Care, LLC, GI Care for Kids, LLC, Aerodigestive Center and Program, Children's Healthcare of Atlanta, GA, U.S.A.
Richard Paul Boesch, Division of Pediatric Pulmonology, Department of Pediatrics and Adolescent Medicine, Mayo Clinic Children's Center, Rochester, MN, U.S.A.
Christophe Faure, Division of Pediatric Gastroenterology, Sainte-Justine University Health Center, Université de Montréal Montréal, QC, Canada.
Daniel von Allmen, Division of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, U.S.A.
Dana Williams, Department of Pediatric Gastroenterology and Nutrition, Phoenix Children's Hospital, Phoenix, AZ, U.S.A.
Eric Chiou, Division of Pediatric Gastroenterology, Hepatology & Nutrition, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, U.S.A.
Emily DeBoer, Department of Pediatrics, Section of Pulmonary and Sleep Medicine, Children's Hospital Colorado Breathing Institute, University of Colorado Denver, Aurora, CO, U.S.A.
Erik Hysinger, Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, U.S.A.
Jennifer Maybee, Children's Hospital Colorado, University of Colorado, Aurora, CO, U.S.A.
Julie Khlevner, Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian, New York, NY, U.S.A.
Kara Larson, Division of Otolaryngology, Boston Children's Hospital, Boston, MA, U.S.A.
Kimberly Morris, Department of Speech Pathology, Rady Children's Hospital, San Diego, CA, U.S.A.
Lauren Jalali, Aerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, MA, U.S.A.
Maireade McSweeney, Aerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, MA, U.S.A.
Matthew T. Brigger, Division of Pediatric Otolaryngology, Department of Surgery, Rady Children's Hospital San Diego, University of California San Diego, San Diego, CA, U.S.A.
Melanie Greifer, Department of Pediatrics, Division of Pediatric Gastroenterology, New York University Grossman School of Medicine, New York, NY, U.S.A.
Michael Rutter, Division of Pediatric Otolaryngology, Aerodigestive and Esophageal Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, U.S.A.
Nina Williams, Center for Airway Disorders, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, U.S.A.
Ram Kumar Subramanyan, Division of Cardiothoracic Surgery, Department of Surgery, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, CA, U.S.A.
Matthew J. Ryan, Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, U.S.A.
Sari Acra, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center, Nashville, TN, U.S.A.
Scott Pentiuk, Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, U.S.A.
Joel Friedlander, EvoEndo, Inc.
Steven E. Sobol, Division of Otolaryngology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, U.S.A.
Ajay Kaul, Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, U.S.A.
Lev Dorfman, Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, U.S.A.
Anil Darbari, Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC, U.S.A.

Document Type

Journal Article

Publication Date

7-13-2023

Journal

Journal of pediatric gastroenterology and nutrition

DOI

10.1097/MPG.0000000000003882

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, 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 oropharyngeal dysphagia.

Department

Pediatrics

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