Why FEES? Why Imaging? Let us tell you!

You don’t know what you don’t know (until you do), so read our favorite piece of literature. If you do not have access to one or more of the articles you are interested in, let us know and we will assist you in obtaining a copy.

  • Langmore, S.E. History of Fiberoptic Endoscopic Evaluation of Swallowing for Evaluation and Management of Pharyngeal Dysphagia:
    Changes over the Years. Dysphagia. (2017) 32: 27. doi;10.1007/s00455-016-9775-x.


Other fascinating reads regarding the importance of imaging:

  • Gerrie J.J.W. Bours, Rene´e Speyer, Jessie Lemmens, Martien Limburg & Rianne de Wit. Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review. Journal of Advanced Nursing. Oct 2008; 477-493.

  • Langmore, S.E., Skarupski, K.A., Park, P.S., Fries, B.E. Predictors of aspiration pneumonia in nursing home residents. Dysphagia. 2002; 10.1007/s00455-002-0072-1.

  • Leder, S.B., Espinosa, M.S. Aspiration risk after acute stroke: comparison of clinical examination and fiberoptic endoscopic evaluation of swallowing. Dysphagia. 2002; 17:214-218.

  • Smith CH, Logemann JA, Colangelo LA, Rademaker AW, Pauloski BR. Incidence and patient characteristics associated with silent aspiration in the acute care setting. Dysphagia 1999; 14:1-7.

  • Smithard, D.G., O’Neill, P.A., Park, C., et al. Can bedside assessment reliably exclude aspiration following acute stroke? Age and Ageing. 1998;27i(2), 99-106.

  • Murray, J, Langmore, S.E., Ginsberg, S. & Dostie, A.(1996). The significance of oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia, 11, 99-103.

  • Langmore, S.E. & Logemann, J.A. (1991). After the clinical bedside swallowing examination: What next? AJSLP, September, 13-20.


Captivating reads regarding the efficacy of FEES:

Bax, L., McFarlane, M. Green, E., & Miles, A. (2014). Speech-language pathologist-led fiberoptic endoscopic evaluation of swallowing: Functional outcomes for patients with stroke. Journal of Stroke and Cerebrovascular Diseases, 23, 195-200.

  • Dietsch, A.M., Solomon, N.P., Steele, C.M., Pelletier, C.A. The effect of barium on perceptions of taste intensity and palatability. Dysphagia. 2013.

  • Stokely, S.L., Molfenter, S.M., Steele, C.M. Effects of barium concentration on oropharyngeal swallow timing measures. Dysphagia. 2013.

  • Leder, S.B., Murray, J.T. Fiberoptic endoscopic evaluation of swallowing. Physical Medicine & Rehabilitation Clinics of North America. Nov 2008;19(4):787-801.

  • Kelly, A.M. Assessing penetration and aspiration: How do videofluoroscopy and fiberoptic endoscopic evaluation of swallowing compare? Laryngoscope. 2007;117, 1732-1727.

  • Aviv, J.E. Prospective, randomized outcome study of endoscopy vs. modified barium swallow in patients with dysphagia. Laryngoscope. 2000; 110, 563-574.

  • Crary, M.A., Baron, J. Endoscopic and Fluoroscopic Evaluations of Swallowing: Comparison of Observed and Inferred Findings. Dysphagia. 1997;12(2).

  • Mu, C.H., Hsiao, T.Y., Chen, J.C., Chang, Y.C., &Lee, S.Y. Evaluation of swallowing safety with fiberoptic endoscope: Comparison with video fluoroscopic technique. Laryngoscope. 1997;107, 396-401.

  • Bastian R. Video endoscopic evaluation of patients with dysphagia: an adjunct to the modified barium swallow. Otolaryngology Head & Neck Surgery; 1991. 104(3):339-50.

  • Langmore, S.E., Schatz, K., & Olsen, N. Endoscopic and video fluoroscopic evaluations of swallowing and aspiration. Annals of Otology, Rhinology & Laryngology. 1991;100(8), 678-681.

  • Warnecke, T. Fiberoptic Endoscopic Dysphagia Severity Scale Predicts Outcome after Acute Stroke. Cerebrovascular Diseases. 2009; 28:283-289.

  • Ajemian, M.S. Routine Fiberoptic Endoscopic Evaluation of Swallowing Following Prolonged intubation: Implications for Management. Arch Surg. 2001; 136(4):434-437

  • Leder, S. B., Sasaki, C. T., & Burrell, M. I. (1998). Fiberoptic Endoscopic Evaluation of Dysphagia to Identify Silent Aspiration. Dysphagia, 13(1), 19-21.

  • Madden, C., Fenton, J., Hughes, J., & Timon, C. (2000). Comparison between videofluoroscopy and milk-swallow endoscopy in the assessment of swallowing function. Clinical Otolaryngology, 25(6), 504-506.

  • Rao N., Brady, S. L., Chaudhuri, G., Donselli J. J., & Wesling, M. W. (2003). Gold-standard? Analysis of the videofluoroscopic and fiberoptic endoscopic swallow examinations. Journal of Applied Research, 3(1), 89-96.