Michel F, Dannesberger R, Stroh T, Fritsche R, Ahrens P
HNO-Praxis im Kreiskrankenhaus, Hauptstraße 30, 64342, Seeheim-Jugenheim, Deutschland.
HNO-Praxis, Lorsch, Deutschland.
HNO. 2019 Dec;67(12):940-947. doi: 10.1007/s00106-019-0723-6.
The findings of functional endoscopy (upper esophageal sphincter insufficiency, cardia insufficiency, esophagitis, gastric heterotopia, axial sliding hernia, and visible aerosols) can be traced back to pharyngeal acid exposure by oropharyngeal pH measurement. Significantly increased pharyngeal acid loads are seen in gastric heterotopy and axial sliding hernia. For all measured statistics, the pharyngeal acid load is in the pathological or even very pathological range. The value of functional endoscopy in the context of laryngopharyngeal reflux diagnosis is clearly documented. The findings "heterotopic gastric mucosa" and "axial sliding hernia" may cause marked airway symptoms and a pathogenetic relationship with otorhinolaryngologic reflux-associated symptoms must be postulated for these entities.
功能性内镜检查的结果（食管上括约肌功能不全、贲门功能不全、食管炎、胃异位、轴性滑动疝和可见气溶胶）可通过口咽pH测量追溯到咽酸暴露。在胃异位和轴性滑动疝中可见咽酸负荷显著增加。对于所有测量的统计数据，咽酸负荷处于病理甚至非常病理的范围内。功能性内镜检查在喉咽反流诊断中的价值有明确记录。“异位胃黏膜”和“轴性滑动疝”的发现可能会引起明显的气道症状，必须假定这些实体与耳鼻咽喉反流相关症状存在发病机制上的关联。
