Drug V L, Cobzeanu D, Papaghiuc Corina, Ciochină Paula, Gogălniceanu P, Bugioianoun Camelia, Stanciu C
Universitatea de Medicină si Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Institutul de Gastroenterologie si Hepatologie.
Rev Med Chir Soc Med Nat Iasi. 2005 Apr-Jun;109(2):220-2.
It is admitted that gastroesophageal reflux patients may presents ear, nose, and throat (ENT) symptoms and signs, condition known as laryngo-pharyngeal reflux. It is estimated that as many as 10% of patients presenting to an ENT specialist have a clinical condition that might be attributed to gastroesophageal reflux. The diagnosis is challenging since no laryngeal signs are pathognomonic. A combination of ENT and esophageal symptoms and signs may suggest the necessity of further investigations. Adapted 24h pH study or better an esophageal impedance study may reveal the involvement of gastroesophageal reflux. Alternatively, a short trial with omeprazole or another proton pump inhibitor may be the simplest way for diagnosis. The standard treatment for gastroesophageal reflux is the valid treatment for these patients.
公认的是,胃食管反流患者可能会出现耳、鼻、喉(ENT)症状和体征,这种情况被称为喉咽反流。据估计,在就诊于耳鼻喉科专家的患者中,多达10%的人患有可能归因于胃食管反流的临床疾病。由于没有喉部体征具有确诊意义,因此诊断具有挑战性。耳鼻喉科症状和体征与食管症状和体征相结合可能提示有进一步检查的必要。改良的24小时pH监测,或者更好的食管阻抗监测,可能会揭示胃食管反流的存在。另外,使用奥美拉唑或另一种质子泵抑制剂进行短期试验可能是最简单的诊断方法。胃食管反流的标准治疗方法对这些患者是有效的治疗方法。