Gateway Dysphagia Diagnostics

Gateway Dysphagia Diagnostics is the premier provider of mobile Flexible Endoscopic Evaluation of Swallow (FEES) in the greater St. Louis area. We provide the convenience of having an Evidence Based instrumental exam at your doorstep, in the patient’s natural living space. Our goal is to provide convenient quality evaluations for health care providers in order to better guide the patient’s plan of care in treating their swallowing disorder. Research has demonstrated a 70% error rate at the bedside, where the recommendations are either too restrictive, jeopardizing nutrition and hydration, or silent aspiration is completely missed, which can lead to pneumonia and frequent admissions to the hospital. We can help in providing a comprehensive evaluation of the patient’s swallow function, using foods they eat, liquids they drink, and medications they take in the comfort of their own living space. We strive to work closely with the patients, families, facility staff, and resident speech language pathologist in order to create a comprehensive patient-centered plan to ensure safe swallowing for the patient and research based recommendations that the facility staff can feel confident implementing. We contract with doctor's offices, skilled nursing facilities, rehabilitation hospitals, long-term acute care hospitals, outpatient clinics, and home health organizations to provide on-site endoscopic swallow evaluations. How it works: You determine need for instrumental evaluation, contact us by call/text/email and we respond with evaluation in 1-2 business days, we provide a full report, recommendations, and imaging to you same day as evaluation.