Table 1 - Indications for FEES vs. Fluoroscopy Procedure
From the following article
Endoscopic evaluation of oral and pharyngeal phases of swallowing
Susan E. Langmore
GI Motility online (2006)
doi:10.1038/gimo28
| Indications for modified barium swallow study (MBS): |
 Unknown medical etiology; vague symptoms; need comprehensive view |
| Visualize submucosal anatomy (e.g., cervical osteophytes) |
| Assess oral stage/base-of-tongue movement |
| UES stricture/hypertonicity? |
| Examine movement of multiple structures at height of swallow |
| Voicing with tracheoesophageal prosthesis : what is vibrating? |
| Laryngectomy with complaints |
| Indications for fluoroscopy: MBS and/or barium swallow (esophagram) |
| Globus complaints: do both |
| Esophageal symptoms: do both or just barium swallow |
| Fistula after surgery? Barium swallow alone |
| Indications for FEES: logistic reasons |
| Fluoroscopy not available |
| Transportation to radiology risky; medically fragile patient |
| Transportation to a hospital problematic |
| Family input desired during exam |
| Positioning problematic: contractures, quad, neck halo, obese, on ventilator |
| Concern about radiation |
| Indications for FEES: clinical reasons |
| Visualize surface anatomy, mucosal abnormalities, resection, etc. |
| Velopharyngeal incompetence |
| Visualize laryngeal movement/vocal fold mobility |
| Severe dysphagia; need conservative exam: compromised pulmonary clearance |
| Clinical question of secretions management |
| Extended therapeutic exam needed/ desired |
| Biofeedback is desired: therapy session |
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