PMID- 23741567 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130607 LR - 20220419 IS - 2005-6419 (Print) IS - 2005-7563 (Electronic) IS - 2005-6419 (Linking) VI - 64 IP - 5 DP - 2013 May TI - Effect of stellate ganglion block on laryngopharyngeal reflux disease. PG - 439-42 LID - 10.4097/kjae.2013.64.5.439 [doi] AB - BACKGROUND: Laryngopharyngeal reflux (LPR) disease has many symptoms such as globus pharyngeus, excessive throat clearing and hoarseness. The aim of this study was to investigate the effect of stellate ganglion block (SGB) in addition to proton pump inhibitors (PPI) on LPR. METHODS: Fifty patients complaining of more than 3 typical LPR symptoms for over 3 months were enrolled in the study. The P group took PPI for 8 weeks. The SP group took PPI and interwent a series of 8 SGB procedure once a week during the period of treatment. The blocks were performed one at a time unilaterally on the right and left stellate ganglions by injecting 1% mepivacaine 6 ml. We evaluated the reflux symptom index (RSI) before treatment and following 4 weeks and 8 weeks of treatment in both groups. RESULTS: After 4 weeks of treatment, the RSI of the P group decreased, but not significantly, to 16.6 +/- 6.8 compared with the baseline value of 19.2 +/- 2.7 (P = 0.093), whereas the RSI of the SP group decreased significantly to 9.8 +/- 3.3 compared with the baseline value of 19.0 +/- 4.7 (P = 0.000). After 8 weeks of treatment, the RSI of the P group decreased significantly to 13.7 +/- 6.7 (P = 0.001) and the RSI of the SP group also decreased significantly to 7.7 +/- 3.4 (P = 0.000). There were significant differences in the RSI between the two groups after 4 weeks (P = 0.000) and 8 weeks (P = 0.001) of treatment. CONCLUSIONS: The symptoms of LPR improved earlier when PPI therapy was combined with SGB compared with PPI therapy alone. FAU - Chung, Ji Won AU - Chung JW AD - Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea. FAU - Chun, Hye Jung AU - Chun HJ FAU - Lee, Mi Soon AU - Lee MS FAU - Ahn, Ki Ryang AU - Ahn KR FAU - Kim, Chun Sook AU - Kim CS FAU - Kang, Kyu Sik AU - Kang KS FAU - Yoo, Sie Hyeon AU - Yoo SH FAU - Chung, Jin Hun AU - Chung JH FAU - Kim, Nan-Seol AU - Kim NS FAU - Seo, Yong Han AU - Seo YH FAU - Gong, Hyung Youn AU - Gong HY FAU - Lee, Yong Man AU - Lee YM LA - eng PT - Journal Article DEP - 20130524 PL - Korea (South) TA - Korean J Anesthesiol JT - Korean journal of anesthesiology JID - 101502451 PMC - PMC3668106 OTO - NOTNLM OT - Laryngopharyngeal reflux OT - Proton pump inhibitors OT - Stellate ganglion block EDAT- 2013/06/07 06:00 MHDA- 2013/06/07 06:01 PMCR- 2013/05/01 CRDT- 2013/06/07 06:00 PHST- 2012/05/07 00:00 [received] PHST- 2012/11/11 00:00 [revised] PHST- 2012/11/28 00:00 [accepted] PHST- 2013/06/07 06:00 [entrez] PHST- 2013/06/07 06:00 [pubmed] PHST- 2013/06/07 06:01 [medline] PHST- 2013/05/01 00:00 [pmc-release] AID - 10.4097/kjae.2013.64.5.439 [doi] PST - ppublish SO - Korean J Anesthesiol. 2013 May;64(5):439-42. doi: 10.4097/kjae.2013.64.5.439. Epub 2013 May 24.