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Pepsin and Laryngeal and Hypopharyngeal Carcinomas
Clinical and Experimental Otorhinolaryngology ; : 159-168, 2021.
Article in English | WPRIM | ID: wpr-897602
ABSTRACT
Laryngeal and hypopharyngeal carcinomas are common malignant tumors of the head and neck, and the incidence of both is increasing. Laryngopharyngeal reflux refers to the retrograde flow of gastric contents into the larynx, oropharynx, and/or nasopharynx. It remains controversial whether laryngopharyngeal reflux is a risk factor for laryngeal and hypopharyngeal cancers. The refluxing substances mainly include hydrochloric acid, pepsin, and occasionally bile acids and bile salts, as well as bacteria that colonize the gastrointestinal tract. Loss of epithelium in the mucous membrane of the larynx and hypopharynx is thought to be caused by pepsin. Here, we review the relationships between laryngopharyngeal reflux and both laryngeal and hypopharyngeal carcinomas, as well as the significance of pepsin, methods of clinical detection, and the mechanism of carcinogenesis.
Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: Clinical and Experimental Otorhinolaryngology Year: 2021 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: Clinical and Experimental Otorhinolaryngology Year: 2021 Type: Article