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Gastro-oesophageal reflux disease in chronic laryngitis: prevalence and response to acid-suppressive therapy.
Aliment Pharmacol Ther 2007; 25(3):287-95AP

Abstract

BACKGROUND

Gastro-oesophageal reflux is thought to cause chronic laryngitis through laryngopharyngeal reflux. Response of laryngitis to treatment with acid-suppressive therapy supports this causal link.

AIM

To determine the prevalence of gastro-oesophageal reflux disease in patients with chronic laryngitis and response to proton-pump inhibitor therapy.

METHODS

Patients with chronic laryngitis were recruited. The frequency and severity of reflux and laryngeal symptoms were scored and laryngitis graded by laryngoscopy. All patients underwent esophagogastroduodenoscopy and 24-h ambulatory pH monitoring before receiving lansoprazole 30 mg b.d. for 8 weeks.

RESULTS

The prevalence of gastro-oesophageal reflux disease was 65.6% (21 of 32). Based on positive pH test, the prevalence was 25% (eight of 32). The change in laryngeal symptom score and laryngitis grade was significantly higher in GERD compared with non-GERD patients (P = 0.010 for both). The proportion of patients with marked/moderate improvement in laryngeal symptoms were significantly higher in patients with reflux (14 of 21, 67%) compared to those without reflux (two of 11, 18%; P = 0.026).

CONCLUSIONS

The prevalence of gastro-oesophageal reflux disease amongst our patients with chronic laryngitis was high. The response to treatment with proton-pump inhibitors in patients with reflux disease compared to those without underlined the critical role of acid reflux in a subset of patients with chronic laryngitis.

Authors+Show Affiliations

Division of Gastroenterology, Facultu of Medicine, University of Malaysia, Kuala Lumpur, Malaysia.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17269990

Citation

Qua, C S., et al. "Gastro-oesophageal Reflux Disease in Chronic Laryngitis: Prevalence and Response to Acid-suppressive Therapy." Alimentary Pharmacology & Therapeutics, vol. 25, no. 3, 2007, pp. 287-95.
Qua CS, Wong CH, Gopala K, et al. Gastro-oesophageal reflux disease in chronic laryngitis: prevalence and response to acid-suppressive therapy. Aliment Pharmacol Ther. 2007;25(3):287-95.
Qua, C. S., Wong, C. H., Gopala, K., & Goh, K. L. (2007). Gastro-oesophageal reflux disease in chronic laryngitis: prevalence and response to acid-suppressive therapy. Alimentary Pharmacology & Therapeutics, 25(3), pp. 287-95.
Qua CS, et al. Gastro-oesophageal Reflux Disease in Chronic Laryngitis: Prevalence and Response to Acid-suppressive Therapy. Aliment Pharmacol Ther. 2007 Feb 1;25(3):287-95. PubMed PMID: 17269990.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastro-oesophageal reflux disease in chronic laryngitis: prevalence and response to acid-suppressive therapy. AU - Qua,C S, AU - Wong,C H, AU - Gopala,K, AU - Goh,K L, PY - 2007/2/3/pubmed PY - 2007/5/22/medline PY - 2007/2/3/entrez SP - 287 EP - 95 JF - Alimentary pharmacology & therapeutics JO - Aliment. Pharmacol. Ther. VL - 25 IS - 3 N2 - BACKGROUND: Gastro-oesophageal reflux is thought to cause chronic laryngitis through laryngopharyngeal reflux. Response of laryngitis to treatment with acid-suppressive therapy supports this causal link. AIM: To determine the prevalence of gastro-oesophageal reflux disease in patients with chronic laryngitis and response to proton-pump inhibitor therapy. METHODS: Patients with chronic laryngitis were recruited. The frequency and severity of reflux and laryngeal symptoms were scored and laryngitis graded by laryngoscopy. All patients underwent esophagogastroduodenoscopy and 24-h ambulatory pH monitoring before receiving lansoprazole 30 mg b.d. for 8 weeks. RESULTS: The prevalence of gastro-oesophageal reflux disease was 65.6% (21 of 32). Based on positive pH test, the prevalence was 25% (eight of 32). The change in laryngeal symptom score and laryngitis grade was significantly higher in GERD compared with non-GERD patients (P = 0.010 for both). The proportion of patients with marked/moderate improvement in laryngeal symptoms were significantly higher in patients with reflux (14 of 21, 67%) compared to those without reflux (two of 11, 18%; P = 0.026). CONCLUSIONS: The prevalence of gastro-oesophageal reflux disease amongst our patients with chronic laryngitis was high. The response to treatment with proton-pump inhibitors in patients with reflux disease compared to those without underlined the critical role of acid reflux in a subset of patients with chronic laryngitis. SN - 0269-2813 UR - https://www.unboundmedicine.com/medline/citation/17269990/Gastro_oesophageal_reflux_disease_in_chronic_laryngitis:_prevalence_and_response_to_acid_suppressive_therapy_ L2 - https://doi.org/10.1111/j.1365-2036.2006.03185.x DB - PRIME DP - Unbound Medicine ER -