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Laryngoscopy and Pharyngeal pH Are Complementary in the Diagnosis of Gastroesophageal-Laryngeal Reflux, by Brant K Oelschlager; Thomas R Eubanks; Nicole Maronian; Allen Hillel; Dmitry Oleynikov; Charles E Pope II; Carlos A Pellegrini is a Medicine article available to read on EtoBox.

What is Laryngoscopy and Pharyngeal pH Are Complementary in the Diagnosis of Gastroesophageal-Laryngeal Reflux, about?

Pharyngeal pH monitoring and laryngoscopy are routinely used to diagnose gastroesophageal-laryngeal reflux as a cause of respiratory symptoms. Although their use seems intuitive, their ultimate diagnostic value is yet to be defined. We studied 10 asymptomatic (control) subjects and 76 patients with respiratory symptoms. Both patients and control subjects were given a symptom questionnaire. Each underwent direct laryngoscopy using the reflux finding score (RFS) to grade laryngeal injury, esophageal manometry, and 24-hour esophagopharyngeal pH monitoring. The patients were then classified as RFS ϩ , if the score was greater than 7, and pharyngeal reflux (PR) ϩ , if they had more than one episode of PR detected during pH monitoring. The most common symptoms reported by patients were hoarseness (87%), cough (53%), and heartburn (50%). Control subjects had a significantly lower RFS (2.1 vs. 9.6, P Ͻ 0.01) and fewer episodes of PR (0.2 vs. 3.4, P Ͻ 0.01), than patients. None of the control subjects had more than one episode of PR during a 24-hour period. Fifty patients (66%) were RFS ϩ and 26 (34%) were RFS Ϫ . Thirty-two patients (42%) were PR ϩ and 44 (58%) were PR Ϫ . Fifteen patients

Who reads Laryngoscopy and Pharyngeal pH Are Complementary in the Diagnosis of Gastroesophageal-Laryngeal Reflux,?

Author

Brant K Oelschlager; Thomas R Eubanks; Nicole Maronian; Allen Hillel; Dmitry Oleynikov; Charles E Pope II; Carlos A Pellegrini

Publisher

Springer-Verlag; Springer Verlag; Elsevier BV; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc.; Springer Nature (ISSN 1091-255X)

Published

2002

Language

EN

Field

Medicine (Health Sciences)