In addition to swallowing disorders caused by esophageal strictures/narrowing or disorders of esophageal motility, oropharyngeal dysphagia occurs when the swallowing mechanism is disordered, impairing the ability to swallow. This usually is a consequence of neurological disorders (stroke, Parkinson’s, Alzheimer’s and others). We offer consultation, evaluation, and treatments in coordination with speech therapist. Placement of a percutaneous endoscopic gastrostomy (PEG) can provide full nutrition and hydration in those who can not safely or adequately eat and drink.