Why Choose FEES?

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Flexible endoscopic evaluation of swallowing (FEES) is a valuable diagnostic tool for assessing swallowing disorders, which is called dysphagia.  Here are several reasons why FEES might be chosen as a preferred method:

  1. Real-time visualization: During a FEES procedure, a healthcare professional can visualize the entire swallowing process in real-time. They can observe the movement and coordination of structures involved in swallowing, such as the throat, larynx, vocal cords, and esophagus. This provides valuable information about the function and any abnormalities that may be present.
  2. Wide range of evaluations: FEES allows for a comprehensive assessment of swallowing function. It can evaluate various aspects, including the safety of swallowing (whether food or liquid enters the airway), the efficiency of swallowing (how quickly food or liquid is transported through the throat), and the effectiveness of swallowing (how well the muscles and structures involved in swallowing work).
  3. Dynamic assessment: Unlike other evaluation methods, such as barium swallow studies, FEES allows for dynamic assessment. The healthcare professional can observe swallowing in different positions (sitting, lying down, etc.), with various consistencies of food and liquid, and even in real meal situations. This dynamic evaluation provides a more accurate representation of a person’s swallowing abilities in different contexts.  FEES can be used for longer exams compared to MBS the time must be shorted due to radiation.
  4. Intervention guidance: FEES not only helps in diagnosing dysphagia but also assists in determining appropriate interventions. By identifying the specific difficulties and abnormalities in swallowing, healthcare professionals can develop tailored treatment plans and make recommendations regarding dietary modifications, compensatory swallowing techniques, or even the need for further intervention such as  surgery.
  5. Accessibility and portability: FEES equipment is portable and can be used at the bedside or in different clinical settings. This makes it accessible for patients who may have difficulty traveling or are unable to undergo other imaging-based evaluations.

It’s important to note that the choice of evaluation method depends on the specific needs and circumstances of the individual. Other methods, such as videofluoroscopic swallow study (VFSS), may also be used based on the clinical situation and availability of resources. Consulting with a healthcare professional who specializes in swallowing disorders can help determine the most appropriate evaluation method for an individual.

NDoscopy Dysphagia Specialists provide FEES in the NY and NJ area.  Call us at 646-389-4316 for a free consultation.


Improving quality of life for patients with dysphagia one scope at a time.


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