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way include pharyngeal swallows and secondary peristal - sis is clear the esophagus.8,9barriers provided to theupper and lower esophageal sphincters, esophageal con - tractile reflexes accentuating these barriers (esophago - ues and pharyngo - ues), and the esophago - glottal andpharyngo - glottal reflexes protect the airway.10,11adverseeffects of aging on these mechanisms likely contribute tothe increased reports of choklng amanda. and aspiration
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