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Evaluation of the Reflux Symptom Index and the Endolaryngeal Findings Scale after Treatment in Individuals with Laryngopharyngeal Reflux
Silva, Álvaro Siqueira; torhinolaryngology DepartmentDuprat, André Campos; Machado, Súnia Ribeiro; Melo, Daniele Nahmias; Ribeiro, Dayse Kelle Nascimento.
  • Silva, Álvaro Siqueira; Amazonas State University. Manaus. BR
  • torhinolaryngology DepartmentDuprat, André Campos; Santa Casa de São Paulo. Medical Sciences College. torhinolaryngology DepartmentDuprat, André Campos. São Paulo. BR
  • Machado, Súnia Ribeiro; Amazonas State University. Manaus. BR
  • Melo, Daniele Nahmias; Amazonas State University. Manaus. BR
  • Ribeiro, Dayse Kelle Nascimento; Adriano Jorge Hospital Foundation. Otorhinolaryngology and Cervical-facial Surgery. Manaus. BR
Int. arch. otorhinolaryngol. (Impr.) ; 25(1): 115-122, Jan.-Mar. 2021. graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1154424
ABSTRACT
Abstract Introduction Laryngopharyngeal reflux (LPR) is a prevalent condition in outpatients visiting the otorhinolaryngological clinic, with many controversies regarding its diagnosis and follow-up. Therefore, there is a need for clinical instruments that can diagnose individuals and monitor the results of their treatment. Objective To evaluate the applicability of the scores translated and adapted to Brazilian Portuguese Reflux Symptom Index (RSI) and Endolaryngeal Reflux Findings Scale (ERFS), as instruments for post-treatment follow-up of LPR. Method A total of 35 individuals with atypical symptoms of gastroesophageal reflux disease and with an objective diagnosis of LPR, confirmed by high digestive endoscopy and 24-hour esophageal pH-metry dual probe test were submitted to the RSI and ERFS questionnaires, used in the pre- and post-treatment of 90 days with a Proton Pump Inhibitor. Result The evaluation of RSI and ERFS in the pre- and post-treatment showed a reduction in the results of the two scores, with a higher drop in the RSI (p < 0.001) than in the ERFS (p = 0.014). Although there was an improvement in the values in 23.9 % of the individuals in the ERFS, there was no change in the category (p = 0.057), different from the RSI (p < 0.001), where there was a 67.4 % improvement in values, as well as change in category (score went from positive to negative). There was a correlation between RSI and ERFS, moderate in the pretreatment and strong in the post-treatment. Conclusion The RSI and ERFS scores, when translated and adapted for Brazilian Portuguese and applied simultaneously, can be considered a good tool for post-treatment LPR follow-up.


Texto completo: Disponible Índice: LILACS (Américas) Tipo de estudio: Estudio diagnóstico Idioma: Inglés Revista: Int. arch. otorhinolaryngol. (Impr.) Asunto de la revista: Otorrinolaringologia Año: 2021 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Adriano Jorge Hospital Foundation/BR / Amazonas State University/BR / Santa Casa de São Paulo/BR

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Texto completo: Disponible Índice: LILACS (Américas) Tipo de estudio: Estudio diagnóstico Idioma: Inglés Revista: Int. arch. otorhinolaryngol. (Impr.) Asunto de la revista: Otorrinolaringologia Año: 2021 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Adriano Jorge Hospital Foundation/BR / Amazonas State University/BR / Santa Casa de São Paulo/BR