PMID- 16845517 OWN - NLM STAT- MEDLINE DCOM- 20071025 LR - 20211110 IS - 0937-4477 (Print) IS - 0937-4477 (Linking) VI - 263 IP - 12 DP - 2006 Dec TI - Laryngopharyngeal reflux disease with nocturnal gastric acid breakthrough while on proton pump inhibitor therapy. PG - 1121-6 AB - Laryngopharyngeal reflux disease (LPRD) with nocturnal recovery of gastric acid secretion (nocturnal acid breakthrough: NAB) with proton pump inhibitors (PPI) was first reported. A 79-year-old Japanese woman complained of globus pharyngeus and mild heartburn was examined with the use of tetra-probe 24-h pH monitoring. She had been treated for reflux esophagitis (GERD) for 12 months prior to her visit to our office. She took Lansoprazole (30 mg/day) before dinner every day. The tetra-probe 24-h pH monitoring revealed that the recovery of gastric acid secretion occurred 6.5 h after taking the dose of PPI. The intragastric pH dropped < 4 at about 23:00 and remained below that level for 4 h and 50 min. The 24-h pH-metry at each probe showed that the nocturnal recovery of gastric acid secretion with PPI (NAB on PPI) influenced gastroesophageal and laryngopharyngeal refluxes. The symptoms of the pharynx and esophagus disappeared after taking H2 receptor antagonist (H2RA) additionally before bedtime. FAU - Sato, Kiminori AU - Sato K AD - Department of Otolaryngology, Head and Neck Surgery, Kurume University, School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. kimisato@oct-net.ne.jp LA - eng PT - Case Reports PT - Journal Article DEP - 20060715 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 RN - 0 (Anti-Ulcer Agents) RN - 0 (Ede1 protein, S cerevisiae) RN - 0 (Proton Pump Inhibitors) RN - 0 (Saccharomyces cerevisiae Proteins) SB - IM MH - Aged MH - Anti-Ulcer Agents/*therapeutic use MH - Arytenoid Cartilage MH - Female MH - Gastric Acid/*metabolism MH - Gastric Acidity Determination/instrumentation MH - Gastroesophageal Reflux/*drug therapy/*epidemiology/*metabolism MH - Humans MH - Hydrogen-Ion Concentration MH - Laryngeal Edema/pathology MH - Laryngoscopy MH - *Proton Pump Inhibitors MH - Saccharomyces cerevisiae Proteins MH - Time Factors EDAT- 2006/07/18 09:00 MHDA- 2007/10/27 09:00 CRDT- 2006/07/18 09:00 PHST- 2005/09/08 00:00 [received] PHST- 2006/05/17 00:00 [accepted] PHST- 2006/07/18 09:00 [pubmed] PHST- 2007/10/27 09:00 [medline] PHST- 2006/07/18 09:00 [entrez] AID - 10.1007/s00405-006-0117-8 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2006 Dec;263(12):1121-6. doi: 10.1007/s00405-006-0117-8. Epub 2006 Jul 15.