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The Dubai Definition and Diagnostic Criteria of Laryngopharyngeal Reflux: The IFOS Consensus.
Lechien, Jerome R; Vaezi, Michael F; Chan, Walter W; Allen, Jacqueline E; Karkos, Petros D; Saussez, Sven; Altman, Kenneth W; Amin, Milan R; Ayad, Tareck; Barillari, Maria R; Belafsky, Peter C; Blumin, Joel H; Johnston, Nikki; Bobin, Francois; Broadhurst, Matthew; Ceccon, Fabio P; Calvo-Henriquez, Christian; Eun, Young-Gyu; Chiesa-Estomba, Carlos M; Crevier-Buchman, Lise; Clarke, John O; Dapri, Giovanni; Eckley, Claudia A; Finck, Camille; Fisichella, P Marco; Hamdan, Abdul-Latif; Hans, Stephane; Huet, Kathy; Imamura, Rui; Jobe, Blair A; Hoppo, Toshitaka; Maron, Lance P; Muls, Vinciane; O'Rourke, Ashli K; Perazzo, Paulo S; Postma, Gregory; Prasad, Vyas M N; Remacle, Marc; Sant'Anna, Geraldo D; Sataloff, Robert T; Savarino, Edoardo V; Schindler, Antonio; Siupsinskiene, Nora; Tseng, Ping-Huei; Zalvan, Craig H; Zelenik, Karol; Fraysse, Bernard; Bock, Jonathan M; Akst, Lee M; Carroll, Thomas L.
Afiliação
  • Lechien JR; Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Brussels, Belgium.
  • Vaezi MF; Department of Laryngology and Broncho-Esophagology (Anatomy Department), EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.
  • Chan WW; Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, Paris Saclay University, Research Committee of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France.
  • Allen JE; Department of Otorhinolaryngology and Head and Neck Surgery, Polyclinic of Poitiers, Poitiers, France.
  • Karkos PD; Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Saussez S; Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Altman KW; Department of Otolaryngology, Head and Neck Surgery, University of Auckland, Auckland, New Zealand.
  • Amin MR; Department of Otorhinolaryngology and Head and Neck Surgery, Thessaloniki Medical School, Thessaloniki, Greece.
  • Ayad T; Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Brussels, Belgium.
  • Barillari MR; Department of Laryngology and Broncho-Esophagology (Anatomy Department), EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.
  • Belafsky PC; Department of Otolaryngology-Head and Neck Surgery, Geisinger Medical Center, Danville, Pennsylvania, USA.
  • Blumin JH; Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, New York, New York, USA.
  • Johnston N; Department of Otolaryngology-Head Neck Surgery, Montreal Hospital, Montreal, Canada.
  • Bobin F; Division of Phoniatrics and Audiology, Department of Mental and Physical Health and Preventive Medicine, L. Vanvitelli University, Naples, Italy.
  • Broadhurst M; Department of Otolaryngology, UC Davis Medical Center, Sacramento, California, USA.
  • Ceccon FP; Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  • Calvo-Henriquez C; Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  • Eun YG; Department of Otorhinolaryngology and Head and Neck Surgery, Polyclinic of Poitiers, Poitiers, France.
  • Chiesa-Estomba CM; Queensland Voice Centre, Brisbane, Australia.
  • Crevier-Buchman L; Department of Otolaryngology-Head and Neck Surgery, Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Clarke JO; Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.
  • Dapri G; Department of Otolaryngology Head & Neck Surgery, Department of Biomedical Science and Technology, Graduate School, Kyung Hee University, Kyung Hee University School of Medicine, Kyung Hee University Medical Center, Seoul, Republic of Korea.
  • Eckley CA; Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain.
  • Finck C; Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, Paris Saclay University, Research Committee of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France.
  • Fisichella PM; Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Redwood City, California, USA.
  • Hamdan AL; International School Reduced Scar Laparoscopy, Minimally Invasive General and Oncologic Surgery Center, Humanitas Gavazzeni University Hospital, Bergamo, Italy.
  • Hans S; Divisão de Otorrinolaringologia, Fleury Medicina e Saúde Laboratórios de Diagnóstico, São Paulo, Brazil.
  • Huet K; Department of Otorhinolaryngology-Head and Neck Surgery, CHU de Liege, Liege, Belgium.
  • Imamura R; Abbvie Inc., Chicago, Illinois, USA.
  • Jobe BA; Department of Otorhinolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
  • Hoppo T; Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, Paris Saclay University, Research Committee of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France.
  • Maron LP; Department of Metrology and Langage Science, University of Mons, Mons, Belgium.
  • Muls V; Department of Otorhinolaryngology, Clinical Hospital, University of São Paulo School of Medicine, Sao Paulo, Brazil.
  • O'Rourke AK; Department of Surgery, Drexel University, Philadelphia, Pennsylvania, USA.
  • Perazzo PS; Department of Surgery, Drexel University, Philadelphia, Pennsylvania, USA.
  • Postma G; Netcare Park Lane Hospital, Johannesburg, South Africa.
  • Prasad VMN; Department of gastroenterology, CHU Saint-Pierre, Brussels.
  • Remacle M; Department of Otolaryngology, Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Sant'Anna GD; Department of Otolaryngology, School of Medicine, São Paulo Federal University, Sao Paulo, Brazil.
  • Sataloff RT; Department of Otolaryngology, Head & Neck Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
  • Savarino EV; ENT Centre and Singapore Medical Specialist Centre, Singapore, Singapore.
  • Schindler A; Department of Otolaryngology, Centre Hospitalier du Luxembourg, Luxembourg, Luxembourg.
  • Siupsinskiene N; Disciplina de Otorrinolaringologia, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil.
  • Tseng PH; Department of Otolaryngology - Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
  • Zalvan CH; Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
  • Zelenik K; Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, Milan, Italy.
  • Fraysse B; Department of Otolaryngology, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
  • Bock JM; Faculty of Health Sciences, Klaipeda university, Klaipeda, Lithuania.
  • Akst LM; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
  • Carroll TL; Department of Otolaryngology-New York Medical College, School of Medicine, Valhalla, NY; Institute for Voice and Swallowing Disorders, Sleepy Hollow, NY, USA.
Laryngoscope ; 134(4): 1614-1624, 2024 Apr.
Article em En | MEDLINE | ID: mdl-37929860
OBJECTIVE: The objective of this work was to gather an international consensus group to propose a global definition and diagnostic approach of laryngopharyngeal reflux (LPR) to guide primary care and specialist physicians in the management of LPR. METHODS: Forty-eight international experts (otolaryngologists, gastroenterologists, surgeons, and physiologists) were included in a modified Delphi process to revise 48 statements about definition, clinical presentation, and diagnostic approaches to LPR. Three voting rounds determined a consensus statement to be acceptable when 80% of experts agreed with a rating of at least 8/10. Votes were anonymous and the analyses of voting rounds were performed by an independent statistician. RESULTS: After the third round, 79.2% of statements (N = 38/48) were approved. LPR was defined as a disease of the upper aerodigestive tract resulting from the direct and/or indirect effects of gastroduodenal content reflux, inducing morphological and/or neurological changes in the upper aerodigestive tract. LPR is associated with recognized non-specific laryngeal and extra-laryngeal symptoms and signs that can be evaluated with validated patient-reported outcome questionnaires and clinical instruments. The hypopharyngeal-esophageal multichannel intraluminal impedance-pH testing can suggest the diagnosis of LPR when there is >1 acid, weakly acid or nonacid hypopharyngeal reflux event in 24 h. CONCLUSION: A global consensus definition for LPR is presented to improve detection and diagnosis of the disease for otolaryngologists, pulmonologists, gastroenterologists, surgeons, and primary care practitioners. The approved statements are offered to improve collaborative research by adopting common and validated diagnostic approaches to LPR. LEVEL OF EVIDENCE: 5 Laryngoscope, 134:1614-1624, 2024.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Refluxo Laringofaríngeo / Laringe Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article
Texto completo
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XML
PubMed Links
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Refluxo Laringofaríngeo / Laringe Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article