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Should patients with pH-documented laryngopharyngeal reflux routinely undergo oesophagogastroduodenoscopy? A retrospective analysis

Published online by Cambridge University Press:  12 October 2007

O Reichel  and
W J Issing
O Reichel*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilians University Munich, Germany
W J Issing
Affiliation:
Department of Otolaryngology, The Freeman Hospital, Newcastle Upon Tyne, UK
*
Address for correspondence: Dr Oliver Reichel, Department of Otolaryngology, Head and Neck Surgery, Ludwig Maximilians University Munich, University Hospital Grosshadern, Marchioninistr 15, 81377 Munich, Germany. Fax: +49 89 70 95 68 69 E-mail: entdoc@gmx.net
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Abstract

Objectives:

Patients with laryngopharyngeal reflux uncommonly suffer from conditions associated with gastroesophageal reflux disease. However, in some laryngopharyngeal reflux patients, oesophagitis and Barrett's metaplasia can be diagnosed by oesophagogastroduodenoscopy. However, it is unclear which patients with laryngopharyngeal reflux would benefit from routine oesophagogastroduodenoscopy.

Study design:

Retrospective analysis.

Materials and methods:

Analysis of the results of oesophagogastroduodenoscopy in 28 patients with pH-documented laryngopharyngeal reflux.

Results:

Oesophagogastroduodenoscopy showed oesophagitis in five patients (four with grade A, one with grade B), hiatus hernia in 10 patients (36 per cent), Barrett's metaplasia in two patients, Helicobacter pylori-associated chronic gastritis in two patients and gastric mucosal erosions in seven patients (25 per cent). In 13 patients, no abnormalities were detected (46 per cent). Barrett's metaplasia or grade B oesophagitis was diagnosed only in patients with heartburn as their main presenting symptom.

Conclusions:

Oesophagogastroduodenoscopy is indicated in at least those laryngopharyngeal reflux patients reporting heartburn as their main complaint.

Keywords

Gastro-Oesophageal RefluxLarynxBarrett OesophagusEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 12 , December 2007 , pp. 1165 - 1169
Copyright
Copyright © JLO (1984) Limited 2007

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