Evaluation of laryngopharyngeal manifestations of gastroesophageal reflux disease
Mansoura Medical Journal. 1997; 27 (1-2): 71-87
em Inglês
| IMEMR
| ID: emr-108258
ABSTRACT
Thirty-one patients with recurrent severe reflux symptoms were studied for esophageal motility, endoscopy, radiology as well as 24-hour pH esophageal monitoring. All patients were subjected to full history taking and fiberoptic laryngopharyngoscopy. 23 patients had persistent laryngopharyngeal symptoms mainly dysphonia. Erythema was a constant sign in all complaining patients and there were 8 cases with contact granuloma and 6 cases had cordal nodules. The occurrence of laryngopharyngeal manifestations [LPHM] in GERD patients was not related neither to the severity of endoscopic esophagitis nor to the lower esophageal sphincter pressure [LESP] and esophageal body peristaltic abnormalities. On the other hand, the LPHM were more related to hiatal hernia [88.9%] and abnormally relaxed upper esophageal sphincter. The 24-hour pH esophageal monitoring was a valuable tool in detecting pathologic acid reflux in 76.9% of the patients and its results were proportionate to the severity of LPHM
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Sulfato de Bário
/
Radiografia
/
Refluxo Gastroesofágico
/
Esofagoscopia
/
Laringoscopia
Idioma:
Inglês
Revista:
Mansoura Med. J.
Ano de publicação:
1997
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