Clinical Practice Guidelines for the Assessment of Uninvestigated Esophageal Dysphagia

Journal of the Canadian Association of Gastroenterology

Liu, L. W. C., Andrews, C. N., et al. (2018).

Journal of the Canadian Association of Gastroenterology, 1(1), 5-19.

This is guideline provides recommendations on the assessment of esophageal dysphagia.

Canadian Association of Gastroenterology






"If oropharyngeal dysphagia is suspected, a referral to a speech language pathologist, or other appropriate specialist, for a clinical assessment (e.g., videofluoroscopic swallowing study) is recommended to confirm the diagnosis and guide management" (Ungraded; p. 8).

"In patients presenting with dysphagia, we recommend using presenting symptoms and physical examination as the initial assessment to identify patients with oropharyngeal dysphagia.... We recommend prompt identification of those with oropharyngeal dysphagia because of the increased risk of aspiration" (Strong recommendation; p. 7).