Skip to main content
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 1/2019

23.08.2018 | Original Article

Laryngopharyngeal Reflux and GERD: Correlation Between Reflux Symptom Index and Reflux Finding Score

verfasst von: C. Shilpa, S. Sandeep, Swathi Chandresh, Akash Grampurohit, T. Shivaram Shetty

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Sonderheft 1/2019

Einloggen, um Zugang zu erhalten

Abstract

To study the relationship between laryngopharyngeal reflux (LPR) and gastroesophageal reflux disease (GERD) using clinical scoring and endoscopy. Data was collected from a sample of 100 patients with GERD symptoms who presented to ENT out-patient department, for a duration of 2 years. Patients were evaluated using Reflux Symptom Index (RSI) questionnaire and Reflux Finding Score (RFS). All patients underwent videolaryngoscopy and upper gastrointestinal endoscopy. Patient with positive findings underwent treatment with proton pump inhibitors and were followed up for 3 months. Out of 100 patients, 23 had LPR, 19 had GERD, 40 had LPR + GERD, 18 were normal. Among the LPR group, the predominant symptoms were hoarseness of voice, globus sensation and heartburn. Majority of GERD group had globus sensation, dysphagia and heartburn as their predominant symptoms. On laryngoscopy, in both LPR and LPR + GERD group, most common finding was interarytenoid erythema and vocal cord edema. On esophagogastroduodenoscopy, in both GERD and LPR + GERD group, esophagitis was the most common finding. RSI value was highest in patients with LPR + GERD. RFS value was high in LPR group followed by groups of LPR + GERD and GERD. RSI and RFS are easily administered, highly reproducible, low cost clinical scoring symptom questionnaire which can identify the patients with LPR. 82.6% of LPR patients had significant RFS scoring but with no significant findings in OGD. This study also illustrates the importance of PPI therapy in LPR patients with no evidence of GERD.
Literatur
1.
Zurück zum Zitat Winkelstein A (1935) Peptic esophagitis: a new clinical entity. JAMA 104:906–909CrossRef Winkelstein A (1935) Peptic esophagitis: a new clinical entity. JAMA 104:906–909CrossRef
2.
Zurück zum Zitat Koufman JA (1991) The otolaryngologic manifestations of gastroesophageal disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 101(Suppl. 53):1–78CrossRef Koufman JA (1991) The otolaryngologic manifestations of gastroesophageal disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 101(Suppl. 53):1–78CrossRef
3.
Zurück zum Zitat Belafsky PC, Postma GN, Koufman JA (2002) Validity and reliability of the Reflux Symptom Index (RSI). J Voice 16(2):274–277CrossRef Belafsky PC, Postma GN, Koufman JA (2002) Validity and reliability of the Reflux Symptom Index (RSI). J Voice 16(2):274–277CrossRef
4.
Zurück zum Zitat Belafsky PC, Postma GN, Koufman JA (2001) Validity and reliability of the Reflux Finding Score (RFS). Laryngoscope 111:1313–1317CrossRef Belafsky PC, Postma GN, Koufman JA (2001) Validity and reliability of the Reflux Finding Score (RFS). Laryngoscope 111:1313–1317CrossRef
5.
Zurück zum Zitat Pandolfino JE, Vakil NB, Kahrilas PJ (2002) Comparison of inter and intraobserver consistency for grading of esophagitis by expert and trainee endoscopists. Gastrointest Endosc 56:639–643CrossRef Pandolfino JE, Vakil NB, Kahrilas PJ (2002) Comparison of inter and intraobserver consistency for grading of esophagitis by expert and trainee endoscopists. Gastrointest Endosc 56:639–643CrossRef
6.
Zurück zum Zitat Powitzky ES, Khaitan L, Garrett CG, Richards WO, Courey M (2003) Symptoms, quality of life, videolaryngoscopy and twenty-four-hour triple probe pH monitoring in patients with typical and extraesophageal reflux. Ann Otol Rhinol Laryngol 112:859–865CrossRef Powitzky ES, Khaitan L, Garrett CG, Richards WO, Courey M (2003) Symptoms, quality of life, videolaryngoscopy and twenty-four-hour triple probe pH monitoring in patients with typical and extraesophageal reflux. Ann Otol Rhinol Laryngol 112:859–865CrossRef
7.
Zurück zum Zitat Jonaitis L, Pribuisiene R, Kupscinskas L, Uloza V (2006) Laryngeal examination is superior to endoscopy in the diagnosis of the laryngeal form of gastroesophageal reflux disease. Scand J Gastroenterol 41:131–137CrossRef Jonaitis L, Pribuisiene R, Kupscinskas L, Uloza V (2006) Laryngeal examination is superior to endoscopy in the diagnosis of the laryngeal form of gastroesophageal reflux disease. Scand J Gastroenterol 41:131–137CrossRef
8.
Zurück zum Zitat Hickson C, Simpson B, Falcon R (2001) Laryngeal pseudosulcus as a predictor of laryngopharyngeal reflux. Laryngoscope 111:1742–1745CrossRef Hickson C, Simpson B, Falcon R (2001) Laryngeal pseudosulcus as a predictor of laryngopharyngeal reflux. Laryngoscope 111:1742–1745CrossRef
9.
Zurück zum Zitat Cekin E, Ozyurt M, Erkul E, Ergunay K, Cincik H, Kapucu B, Gungor A (2012) The association between Helicobacter pylori and laryngopharyngeal reflux in laryngeal pathologies. Ear Nose Throat J 91(3):E6-9CrossRef Cekin E, Ozyurt M, Erkul E, Ergunay K, Cincik H, Kapucu B, Gungor A (2012) The association between Helicobacter pylori and laryngopharyngeal reflux in laryngeal pathologies. Ear Nose Throat J 91(3):E6-9CrossRef
Metadaten
Titel
Laryngopharyngeal Reflux and GERD: Correlation Between Reflux Symptom Index and Reflux Finding Score
verfasst von
C. Shilpa
S. Sandeep
Swathi Chandresh
Akash Grampurohit
T. Shivaram Shetty
Publikationsdatum
23.08.2018
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe Sonderheft 1/2019
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-018-1480-7

Weitere Artikel der Sonderheft 1/2019

Indian Journal of Otolaryngology and Head & Neck Surgery 1/2019 Zur Ausgabe

Clinical Report

Tongue Base Schwannoma

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.