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Otolaryngologic manifestations of gastro-oesophageal reflux disease in Lagos.
Niger Postgrad Med J 2006; 13(3):225-9NP

Abstract

BACKGROUND/AIM

Gastro-oesophageal reflux disease(GERD) is not an uncommon disease in Nigeria. The otolaryngologic (ORL) symptoms associated with GERD are varied. In the management of patients with ORL symptoms and disease, GERD is often not considered as a differential diagnosis The aim of this study is to identify patients with ORL complications of GERD from patients with ORL disease who have symptoms that mimic GERD using defined criteria in the light of limited diagnostic facilities.

MATERIALS/METHODS

A prospective study was conducted over a two year period at Lagos University Teaching Hospital Lagos and two private Otolaryngology clinics,within Lagos, among patients who presented primarily with laryngeal and pharyngeal symptoms . They were evaluated using structured questionnaire for duration of regurgitation, heartburn ,symptoms of peptic ulcer disease, clinical examination, esophagogastro - duodenoscopy findings and outcome of laryngopharyngeal symptoms following anti-reflux therapy.

RESULTS

A total of 92 patients were evaluated over a two year period .ORL diseases and symptoms at presentation were chronic laryngitis, chronic pharyngitis, globus pharyngeus, globus and chronic laryngitis, laryngeal carcinoma, cricopharyngeal spasm and throat hawking. History of symptoms of peptic ulcer disease and regurgitation was obtained in 47.8% and 65.2% respectively. Endoscopic findings revealed oesophageal reflux with gastroduodenits in 4.3%, Non specific gastritis in 17.4%, duodenal ulcer in 56.4%, and normal findings in 21.7%. Patients were treated medically with antacids, H2 antagonists, proton pump inhibitors and were followed up for 9-12 months. GERD was diagnosed in 4 (4.34%), 68 (73.9%) were diagnosed as non erosive reflux disease (NERD) and 20 (21.74%) with probable acid related problem that will need further evaluation . Following anti-reflux therapy 68 (73.9%) had disappearance of their laryngopharygeal symptoms for up to a year. ORL complications of GERD/NERD was seen in 72 (78.3%).

CONCLUSION

GERD should be a differential diagnosis in patient with pharyngeal and laryngeal symptoms not associated with sinus disease in the presence or absence of positive peptic ulcer disease or regurgitation and the management should be multidisciplinary.

Authors+Show Affiliations

Otolaryngology Unit, Department of Surgery, College of Medicine, Lagos University Teaching Hospital, Lagos.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17066111

Citation

Somefun, O A., et al. "Otolaryngologic Manifestations of Gastro-oesophageal Reflux Disease in Lagos." The Nigerian Postgraduate Medical Journal, vol. 13, no. 3, 2006, pp. 225-9.
Somefun OA, Wanda CB, Adesanya AA, et al. Otolaryngologic manifestations of gastro-oesophageal reflux disease in Lagos. Niger Postgrad Med J. 2006;13(3):225-9.
Somefun, O. A., Wanda, C. B., Adesanya, A. A., Thomas, M. O., & Esan, O. O. (2006). Otolaryngologic manifestations of gastro-oesophageal reflux disease in Lagos. The Nigerian Postgraduate Medical Journal, 13(3), pp. 225-9.
Somefun OA, et al. Otolaryngologic Manifestations of Gastro-oesophageal Reflux Disease in Lagos. Niger Postgrad Med J. 2006;13(3):225-9. PubMed PMID: 17066111.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Otolaryngologic manifestations of gastro-oesophageal reflux disease in Lagos. AU - Somefun,O A, AU - Wanda,C B, AU - Adesanya,A A, AU - Thomas,M O, AU - Esan,O O, PY - 2006/10/27/pubmed PY - 2007/4/7/medline PY - 2006/10/27/entrez SP - 225 EP - 9 JF - The Nigerian postgraduate medical journal JO - Niger Postgrad Med J VL - 13 IS - 3 N2 - BACKGROUND/AIM: Gastro-oesophageal reflux disease(GERD) is not an uncommon disease in Nigeria. The otolaryngologic (ORL) symptoms associated with GERD are varied. In the management of patients with ORL symptoms and disease, GERD is often not considered as a differential diagnosis The aim of this study is to identify patients with ORL complications of GERD from patients with ORL disease who have symptoms that mimic GERD using defined criteria in the light of limited diagnostic facilities. MATERIALS/METHODS: A prospective study was conducted over a two year period at Lagos University Teaching Hospital Lagos and two private Otolaryngology clinics,within Lagos, among patients who presented primarily with laryngeal and pharyngeal symptoms . They were evaluated using structured questionnaire for duration of regurgitation, heartburn ,symptoms of peptic ulcer disease, clinical examination, esophagogastro - duodenoscopy findings and outcome of laryngopharyngeal symptoms following anti-reflux therapy. RESULTS: A total of 92 patients were evaluated over a two year period .ORL diseases and symptoms at presentation were chronic laryngitis, chronic pharyngitis, globus pharyngeus, globus and chronic laryngitis, laryngeal carcinoma, cricopharyngeal spasm and throat hawking. History of symptoms of peptic ulcer disease and regurgitation was obtained in 47.8% and 65.2% respectively. Endoscopic findings revealed oesophageal reflux with gastroduodenits in 4.3%, Non specific gastritis in 17.4%, duodenal ulcer in 56.4%, and normal findings in 21.7%. Patients were treated medically with antacids, H2 antagonists, proton pump inhibitors and were followed up for 9-12 months. GERD was diagnosed in 4 (4.34%), 68 (73.9%) were diagnosed as non erosive reflux disease (NERD) and 20 (21.74%) with probable acid related problem that will need further evaluation . Following anti-reflux therapy 68 (73.9%) had disappearance of their laryngopharygeal symptoms for up to a year. ORL complications of GERD/NERD was seen in 72 (78.3%). CONCLUSION: GERD should be a differential diagnosis in patient with pharyngeal and laryngeal symptoms not associated with sinus disease in the presence or absence of positive peptic ulcer disease or regurgitation and the management should be multidisciplinary. SN - 1117-1936 UR - https://www.unboundmedicine.com/medline/citation/17066111/Otolaryngologic_manifestations_of_gastro_oesophageal_reflux_disease_in_Lagos_ L2 - https://medlineplus.gov/gerd.html DB - PRIME DP - Unbound Medicine ER -