Esophageal Dysphagia Part 1: Anatomy, Physiology, and Assessment

Presented by Joy E. Gaziano

12-Month Subscription

Unlimited access to:

  • Thousands of CE Courses
  • Patient Education
  • Home Exercise Program
  • And more
Video Runtime: 49 Minutes; Learning Assessment Time: 28 Minutes

This course is the first of five courses designed to assist clinicians in becoming informed dysphagia team members, allowing them to engage with gastroenterologists evaluating and treating esophageal dysfunction that leads to dysphagia.

Traditionally, dysphagia management has been dichotomized into oropharyngeal and esophageal phases. However, increasingly we recognize the interdependence and interrelationships that exist within the aerodigestive system. Professional education has been discipline-specific, with little emphasis on the esophageal aspects of swallowing in speech-language pathology (SLP) training. In a health system that values accurate and timely assessment and treatment, SLPs can serve a vital collaborative role in identifying signs and symptoms of esophageal disorders when this practice gap is closed.

Mastery of this webinar content will aid clinicians in identifying normal esophageal structure and function. Clinicians will have a working knowledge of instrumental esophageal testing and incorporate the findings into a patient’s swallowing assessment. Finally, it will assist clinicians in structuring their swallowing assessment to include history-taking that may identify signs of esophageal dysfunction that lead to dysphagia.

Learning Objectives
  • Attribute a rationale to expanding dysphagia assessment to include all domains of swallowing
  • Distinguish key components of normal esophageal anatomy and physiology
  • Categorize clinical characteristics of esophageal dysphagia to improve history-taking
  • Analyze the purposes and significance of the results of the four common instrumental assessments of the esophagus
  • Integrate clinical and instrumental findings in a case study to formulate a plan of care

Meet your instructor

A woman with glasses and light brown hair smiles at the camera, representing medbridge healthcare training.

Joy E. Gaziano

Joy E. Gaziano is a medical speech pathologist and board-certified specialist in swallowing and swallowing disorders (BCS-S) through ASHA. She has served the USF Center for Swallowing Disorders for more than 30 years, focusing on the management of complex upper aerodigestive disorders. She has an active clinical practice,…

Read full bio

Chapters & learning objectives

Why Should the SLP Know About the Esophagus?

1. Why Should the SLP Know About the Esophagus?

This chapter outlines the traditional dichotomized model of swallowing assessment and introduces current research supporting a more comprehensive view of swallowing assessment by the SLP. This includes the oral, pharyngeal, and esophageal domains of swallowing. It also summarizes knowledge and skills currently supported in professional guidelines and previews the contents of this five-part series.

Basic Anatomy and Physiology of the Normal Esophagus

2. Basic Anatomy and Physiology of the Normal Esophagus

This chapter introduces clinicians to the basic anatomy and physiology of the esophagus. It focuses on the practical application of this information in guiding the assessment and treatment of individuals with esophageal dysphagia.

Clinical Interviewing for Esophageal Dysphagia

3. Clinical Interviewing for Esophageal Dysphagia

This chapter focuses on tailoring your clinical history-taking to include questions that can help reveal an esophageal component to the patient’s swallowing complaints.

Instrumental Assessment of Esophageal Dysphagia

4. Instrumental Assessment of Esophageal Dysphagia

Several important instrumental assessment options are reviewed in this chapter. The purpose, clinical utility, and indications are outlined. Pictures and/or videos of each will enhance the learner’s understanding of how the tests and their results provide important data for diagnosing esophageal dysphagia.