What is FEES?

At Dysphagia View 360, we specialize in comprehensive high definition instrumental assessments of dysphagia known as Fiberoptic Endoscopic Evaluation of Swallowing (FEES). We feature the latest portable technology allowing the assessments to be conducted at the patient’s bedside, in long term care facilities, home health settings, or in a doctor’s office.

This safe and well tolerated procedure examines the structure and function of the aero-digestive tract as it relates to swallowing. The procedure is useful in determining the nature of the swallowing dysfunction and is invaluable in guiding decisions regarding dietary and behavioral management.

During the procedure the flexible endoscope is passed along the floor of the patient’s nasal passage into the hypopharynx. Initially the patient is guided through a variety of simple tasks so that the larynx, pharynx, and upper esophageal opening can be viewed during dynamic movement. In the next step, trials of various liquid consistencies and food textures are administered to determine the functioning of the swallowing mechanism with oral intake. Finally postural changes and behavioral strategies are incorporated to determine their effectiveness in protecting the airway.

The entire procedure takes less than twenty minutes to complete and neither radiation nor barium are required. The patient is able to interact throughout the test and can resume daily activities immediately following the procedure.