Mendelsohn Abie H
Department of Head and Neck Surgery, UCLA Voice Center for Medicine and the Arts, 200 Medical Plaza, Suite 550, Los Angeles, CA 90095, USA.
Otolaryngol Clin North Am. 2018 Aug;51(4):779-787. doi: 10.1016/j.otc.2018.03.007. Epub 2018 Apr 24.
Reflux-related complaints are a frequent cause for otolaryngology consultation, and with the aging population the concerns specific to the elderly reflux patient are critical. The elderly patient is less likely to present with typical laryngopharyngeal reflux (LPR) or gastroesophageal reflux disease (GERD) symptoms. Importantly, elderly patients typically have objective findings more severe than the level of the symptoms. Therefore, upfront invasive esophageal testing as opposed to an initial medical therapy trial is the recommended management strategy. For all patients irrespective of age, lifestyle and diet modifications continue to represent the cornerstone of medical management for LPR and GERD.
反流相关的不适是耳鼻喉科会诊的常见原因，随着人口老龄化，老年反流患者的特殊问题至关重要。老年患者出现典型的喉咽反流（LPR）或胃食管反流病（GERD）症状的可能性较小。重要的是，老年患者的客观检查结果通常比症状程度更严重。因此，推荐的管理策略是直接进行侵入性食管检查，而不是首先进行药物治疗试验。对于所有患者，无论年龄大小，生活方式和饮食调整仍然是LPR和GERD药物治疗的基石。
