PMID- 38278193 OWN - NLM STAT- Publisher LR - 20240225 IS - 1542-7714 (Electronic) IS - 1542-3565 (Linking) DP - 2024 Jan 24 TI - High Diagnostic Yield of Abnormal Endoscopic Findings in the Evaluation of Laryngopharyngeal Reflux. LID - S1542-3565(24)00087-9 [pii] LID - 10.1016/j.cgh.2024.01.012 [doi] AB - Esophagogastroduodenoscopy (EGD) is recommended in patients with typical gastroesophageal reflux disease (GERD) symptoms (heartburn, regurgitation, chest pain) in the setting of proton pump inhibitor (PPI) nonresponse. EGD evaluates for erosive disease, assesses antireflux barrier integrity, excludes non-GERD conditions, and, in the absence of erosive findings, is followed by reflux testing.(1,2) The diagnostic utility of EGD is less clear in the evaluation for laryngopharyngeal reflux (LPR), and the current reference standard is ambulatory reflux monitoring.(1,3,4) This study of patients referred for evaluation of chronic laryngeal symptoms had the following aims: (1) to characterize endoscopic findings, (2) to discern whether findings differed between patients with or without concomitant esophageal reflux symptoms, and (3) to measure the association between endoscopic findings and objective GERD on ambulatory reflux monitoring. CI - Copyright (c) 2024 AGA Institute. Published by Elsevier Inc. All rights reserved. FAU - Krause, Amanda J AU - Krause AJ AD - Division of Gastroenterology and Hepatology, Department of Medicine, University of California San Diego, La Jolla, California. FAU - Carlson, Dustin A AU - Carlson DA AD - Division of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. FAU - Chan, Walter W AU - Chan WW AD - Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. FAU - Chen, Chien-Lin AU - Chen CL AD - Division of Gastroenterology and Hepatology, Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan. FAU - Gyawali, C Prakash AU - Gyawali CP AD - Division of Gastroenterology, Department of Medicine, Washington University, St. Louis, Missouri. CN - Laryngeal Symptoms Working Group FAU - Yadlapati, Rena AU - Yadlapati R AD - Division of Gastroenterology and Hepatology, Department of Medicine, University of California San Diego, La Jolla, California. Electronic address: ryadlapati@ucsd.edu. LA - eng GR - R01 DK092217/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20240124 PL - United States TA - Clin Gastroenterol Hepatol JT - Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association JID - 101160775 SB - IM FIR - Greytak, Madeline IR - Greytak M IRAD- Division of Gastroenterology and Hepatology, Department of Medicine, University of California San Diego, La Jolla, California. FIR - Kaizer, Alexander M IR - Kaizer AM IRAD- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado-Anschutz Medical Campus, Aurora, Colorado. FIR - Jenkins, Andrew IR - Jenkins A IRAD- Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. FIR - Pandolfino, John E IR - Pandolfino JE IRAD- Division of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. FIR - Polamraju, Vinathi IR - Polamraju V IRAD- Division of Gastroenterology, Department of Medicine, Washington University, St. Louis, Missouri. FIR - Wong, Ming-Wun IR - Wong MW IRAD- Division of Gastroenterology and Hepatology, Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan. EDAT- 2024/01/27 12:42 MHDA- 2024/01/27 12:42 CRDT- 2024/01/26 19:12 PHST- 2023/09/21 00:00 [received] PHST- 2023/11/07 00:00 [revised] PHST- 2024/01/08 00:00 [accepted] PHST- 2024/01/27 12:42 [pubmed] PHST- 2024/01/27 12:42 [medline] PHST- 2024/01/26 19:12 [entrez] AID - S1542-3565(24)00087-9 [pii] AID - 10.1016/j.cgh.2024.01.012 [doi] PST - aheadofprint SO - Clin Gastroenterol Hepatol. 2024 Jan 24:S1542-3565(24)00087-9. doi: 10.1016/j.cgh.2024.01.012.