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Eur Arch Otorhinolaryngol ; 266(3): 403-9, 2009 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-18648836

RESUMEN

The aim of this study was to investigate the prevalence of gastroesophageal reflux disease (GERD) in patients with laryngopharyngeal symptoms, the relationship between laryngopharyngeal reflux (LPR) and Helicobacter Pylori infection and treatment response to proton pump inhibitors. Forty-five patients with suspected gastroesophageal reflux diseases related symptoms (sore throat, throat burning, throat clearing, globus sensation, cough, halitozis, dysphonia, dysphagia, postnasal dripping, vocal fatigue, and sputum) were included in this study. For pre-therapeutic and post-therapeutic comparison, symptoms and laryngological findings were graded on a 4-point scale. The patients underwent upper gastrointestinal system endoscopy. During endoscopy, antral biopsies from the stomach were obtained to detect H. Pylori. Antireflux medication with proton pump inhibitors (PPI) and H. Pylori eradication therapy if present were prescribed to the patients. The improvement in symptoms and laryngological findings were evaluated after treatment. By means of esophagogastroduodenoscopy (EGD), reflux was detected in only 11% of patients. But there can be reflux patients other than the detected ones. Although, H. Pylori was present in 62% of patients, no correlation was found between H. Pylori positivity and symptoms. All patients responded well to antireflux treatment and H. Pylori eradication therapy. Laryngopharyngeal symptoms and findings can be predictors of gastroesophageal diseases when response to reflux treatment is taken into account.


Asunto(s)
2-Piridinilmetilsulfinilbencimidazoles/uso terapéutico , Esofagitis/diagnóstico , Reflujo Gastroesofágico/epidemiología , Reflujo Gastroesofágico/fisiopatología , Infecciones por Helicobacter , Helicobacter pylori/aislamiento & purificación , Laringe/fisiopatología , Faringe/fisiopatología , Inhibidores de la Bomba de Protones/uso terapéutico , Adulto , Anciano , Endoscopía del Sistema Digestivo/métodos , Femenino , Reflujo Gastroesofágico/diagnóstico , Infecciones por Helicobacter/tratamiento farmacológico , Infecciones por Helicobacter/epidemiología , Infecciones por Helicobacter/microbiología , Humanos , Lansoprazol , Masculino , Persona de Mediana Edad , Prevalencia , Índice de Severidad de la Enfermedad , Adulto Joven
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