Contencin P, Maurage C, Ployet M J, Seid A B, Sinaasappel M
ORL, Hôpital Saint-Vincent-de-Paul, Paris, France.
Int J Pediatr Otorhinolaryngol. 1995 Jun;32 Suppl:S135-44. doi: 10.1016/0165-5876(94)01157-s.
Among controversies in pediatric otorhinolaryngology, the role of gastroesophageal reflux (GER) in inflammatory disorders of the upper airway remains of major concern. A laryngeal involvement by GER was demonstrated in adults and a correlation with GER has been found in pediatric populations with recurrent croup. However, although considered statistically significant, these results concern a few patients only and are inconclusive for a causal relationship. In addition, pH monitoring, often considered as the gold standard for the diagnosis of GER disease, has failed in giving normal values in ENT disorders. Eventually, upper pharyngeal and nasal involvements by GER and GER-related otitis media or otalgia have been suggested by some authors. In the 6th International Congress on Pediatric Otolaryngology, the Symposium on GER was designed to help physicians in improving their knowledge of the data from the literature and their understanding of the involved mechanisms. Bearing in mind the potential severity of GER disease, the audience also heard and debated the most up-to-date methods of assessing GER and treating it in patients with possibly related otorhinolaryngological symptoms. Here is the summary of this symposium.
在小儿耳鼻咽喉科学的诸多争议中，胃食管反流（GER）在上气道炎性疾病中的作用一直是主要关注点。GER对喉部的影响在成人中已有证实，并且在患有复发性哮吼的儿科人群中发现了与GER的相关性。然而，尽管这些结果在统计学上具有显著性，但仅涉及少数患者，对于因果关系尚无定论。此外，通常被视为GER疾病诊断金标准的pH监测，在耳鼻喉科疾病中并未给出正常值。最终，一些作者提出了GER对上咽部和鼻腔的影响以及与GER相关的中耳炎或耳痛。在第六届国际小儿耳鼻咽喉科学大会上，GER专题研讨会旨在帮助医生提高对文献数据的了解以及对相关机制的理解。考虑到GER疾病的潜在严重性，与会者还听取并讨论了评估GER以及治疗可能伴有相关耳鼻咽喉科症状患者的最新方法。以下是本次研讨会的总结。
