PMID- 18648836 OWN - NLM STAT- MEDLINE DCOM- 20090727 LR - 20211020 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 266 IP - 3 DP - 2009 Mar TI - Association of laryngopharyngeal manifestations and gastroesophageal reflux. PG - 403-9 LID - 10.1007/s00405-008-0761-2 [doi] AB - 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. FAU - Toros, Sema Zer AU - Toros SZ AD - Deparment of Otorhinolaryngology/Head and Neck Surgery, Haydarpasa Numune Educational and Research Hospital, M Saadettin Sokak, Saadet Apartmani, Istanbul, Ortakoy/Besiktas, Turkey. semazertoros@yahoo.com FAU - Toros, Ahmet Burak AU - Toros AB FAU - Yuksel, Ozlem Doganer AU - Yuksel OD FAU - Ozel, Leyla AU - Ozel L FAU - Akkaynak, Cinar AU - Akkaynak C FAU - Naiboglu, Baris AU - Naiboglu B LA - eng PT - Journal Article DEP - 20080722 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 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Proton Pump Inhibitors) RN - 0K5C5T2QPG (Lansoprazole) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles/*therapeutic use MH - Adult MH - Aged MH - Endoscopy, Digestive System/methods MH - Esophagitis/*diagnosis MH - Female MH - Gastroesophageal Reflux/diagnosis/*epidemiology/*physiopathology MH - *Helicobacter Infections/drug therapy/epidemiology/microbiology MH - Helicobacter pylori/*isolation & purification MH - Humans MH - Lansoprazole MH - Larynx/*physiopathology MH - Male MH - Middle Aged MH - Pharynx/*physiopathology MH - Prevalence MH - Proton Pump Inhibitors/*therapeutic use MH - Severity of Illness Index MH - Young Adult EDAT- 2008/07/24 09:00 MHDA- 2009/07/28 09:00 CRDT- 2008/07/24 09:00 PHST- 2007/10/23 00:00 [received] PHST- 2008/07/01 00:00 [accepted] PHST- 2008/07/24 09:00 [pubmed] PHST- 2009/07/28 09:00 [medline] PHST- 2008/07/24 09:00 [entrez] AID - 10.1007/s00405-008-0761-2 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2009 Mar;266(3):403-9. doi: 10.1007/s00405-008-0761-2. Epub 2008 Jul 22.