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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/07/30 01:40:23」(JST)

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  • Using sensory properties of food to trigger swallowing: a review.
  • Loret C.
  • Critical reviews in food science and nutrition.Crit Rev Food Sci Nutr.2015;55(1):140-5. doi: 10.1080/10408398.2011.649810.
  • The effect of food consistency on swallowing function has been widely studied, and it is well recognized that by delaying the flow of the food bolus, thickened liquids can help in the management of swallowing dysfunction. However, fewer studies have been carried out on the impact of food sensory pro
  • PMID 24915399
  • Acute and long-term dysphagia in critically ill patients with severe sepsis: results of a prospective controlled observational study.
  • Zielske J1, Bohne S, Brunkhorst FM, Axer H, Guntinas-Lichius O.
  • European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery.Eur Arch Otorhinolaryngol.2014 Nov;271(11):3085-93. doi: 10.1007/s00405-014-3148-6. Epub 2014 Jun 27.
  • Dysphagia is a major risk factor for morbidity and mortality in critically ill patients treated in intensive care units (ICUs). Structured otorhinolaryngological data on dysphagia in ICU survivors with severe sepsis are missing. In a prospective study, 30 ICU patients with severe sepsis and thirty w
  • PMID 24970291
  • Successful nutritional support for a dysphagic patient with massive cirrhotic ascites and intrathoracic stomach using percutaneous endoscopic gastrostomy (PEG).
  • Moriwaki Y1, Otani J2, Okuda J2, Niwano T2, Sawada Y2, Nitta T2, Ohshima C2.
  • Nutrition (Burbank, Los Angeles County, Calif.).Nutrition.2014 Nov-Dec;30(11-12):1456-9. doi: 10.1016/j.nut.2014.05.007. Epub 2014 Jun 11.
  • Although massive cirrhotic ascites is generally considered a contraindication for the placement of percutaneous endoscopic gastrostomy (PEG), such patients are usually poorly nourished. Preceding paracentesis of ascites is one method for controlling ascites and allowing the safe placement of PEG, bu
  • PMID 25280427


  • 介護者の負担軽減を目指した嚥下センサ開発のための基礎的研究 (特集 ライフエンジニアリングの最前線)
  • 西谷 光世,都築 裕,金 主賢 [他]
  • 計測自動制御学会論文集 50(8), 569-574, 2014-08
  • NAID 40020195200
  • 嚥下内視鏡検査スコア評価による急性期入院患者の経口摂取状況の予測
  • 福田 篤,津布久 崇,松村 道哉 [他]
  • 日本耳鼻咽喉科学会会報 117(8), 1087-1092, 2014-08
  • NAID 40020193732
  • 歯科的問題が症状に大きく影響を与えた神経性食欲不振症過食排出型の一例
  • 大津 光寛,羽村 章,石川 結子,一條 智康,横山 祐子,石井 隆資,岡田 智雄,苅部 洋行
  • 心身医学 54(7), 685-691, 2014-07-01
  • 摂食障害症例が歯科的問題を抱えることはまれではない.今回,歯科受診するも理解が得られず,不安により症状が修飾された症例に対し,感情に配慮した歯科治療の結果,口腔内症状のみならず摂食障害症状にも良好な影響が現れた症例を経験した.症例は27歳女性,BMI16.4.17歳時神経性食欲不振症過食排出型発症.歯痛のため歯科受診するも改善せず,咀嚼機能が阻害され,丸呑みの過食と固形物の嘔吐を繰り返すこととなる …
  • NAID 110009823344


swallowing [swahl´o-ing] the taking in of a substance through the mouth and pharynx and into the esophagus. It is a combination of a voluntary act and a series of reflex actions. Once begun, the process operates automatically. Called ...
Southcott had recently attained her five-and-twentieth blessed birthday, of whom a prophetic private in the Life Guards had heralded the sublime appearance by announcing that arrangements were made for the swallowing up of London ...






  • vt.
  • 嚥下する

WordNet   license wordnet

「utter indistinctly; "She swallowed the last words of her speech"」

WordNet   license wordnet

「the act of swallowing; "one swallow of the liquid was enough"; "he took a drink of his beer and smacked his lips"」
drink, deglutition

WordNet   license wordnet

「small long-winged songbird noted for swift graceful flight and the regularity of its migrations」

WordNet   license wordnet

「a small amount of liquid food; "a sup of ale"」

WordNet   license wordnet

「pass through the esophagus as part of eating or drinking; "Swallow the raw fish--it won''t kill you!"」
get down

WordNet   license wordnet

「take back what one has said; "He swallowed his words"」
take back, unsay, withdraw

WordNet   license wordnet

「believe or accept without questioning or challenge; "Am I supposed to swallow that story?"」

WordNet   license wordnet

「engulf and destroy; "The Nazis swallowed the Baltic countries"」

WordNet   license wordnet

「keep from expressing; "I swallowed my anger and kept quiet"」

PrepTutorEJDIC   license prepejdic


PrepTutorEJDIC   license prepejdic

「〈食物など〉‘を'『飲み込む』 / 〈言葉など〉‘を'取り消す / 〈感情など〉‘を'表さない,抑える / …‘を'我慢する / 《話》…‘を'うのみにする / (特に,緊張して)つばを飲み込む / (…を)飲み込むこと《+of+名》 / (…の)一飲みする量《+of+名》」



swallowing, deglution (SP)

  • 嚥下の第1相は随意的
  • 嚥下の第2,3相は多シナプス反射により起こる。
  • 多シナプス反射
  • 嚥下の中枢は延髄

嚥下の相 (also see SP.719)

  • 1. 口腔相(第1期) 随意的
  • 2. 咽頭相(第2期) 反射
  • 食塊→咽頭壁、軟口蓋刺激→延髄嚥下中枢による反射
  • 咽頭相中、呼吸停止(嚥下性無呼吸)
開口部  閉鎖する構造 
鼻腔   舌      
口腔   軟口蓋    
気道   喉頭蓋    
咽頭   -
  • 3. 食道相(第3期) 反射

食道括約筋 (also see SP.720)

  • 下部食道2/3を占める平滑筋
  • LESは収縮し、胃からの逆流を防ぐ
  • 迷走神経支配(背側運動核、アセチルコリン作動性)


  • 腹圧↑→胃が胸腔内に嵌入→
  • 食道下部のAuerbach神経叢細胞の消失および変性→食道下部の蠕動(-)、LESの反射性弛緩(-)→口側食道の拡張→嚥下障害、無胆汁性嘔吐、逆流性食道炎



  • n.
aspirationforeign body aspiration