How to Approach Laryngopharyngeal Reflux: An Otolaryngology Perspective

@article{Dhillon2016HowTA,
  title={How to Approach Laryngopharyngeal Reflux: An Otolaryngology Perspective},
  author={Vaninder K. Dhillon and Lee M. Akst},
  journal={Current Gastroenterology Reports},
  year={2016},
  volume={18},
  pages={1-7}
}
In the otolaryngology practice, there is a rising concern with the current diagnosis and management of laryngopharyngeal reflux (LPR). The implication of LPR in many common head and neck symptoms, along with the rising cost of empiric therapy and no overall improvement in patient symptoms, has established a need to review what are indeed laryngopharyngeal complaints secondary to reflux and what are not. This article reviews the otolaryngologist’s approach to LPR, the various ways diagnosis is… 

Laryngopharyngeal Reflux: Current Concepts on Etiology and Pathophysiology and Its Role in Dysphagia

Dysphagia and LPR both have significant overlap with numerous disease entities, and few studies show that managing LPR-related dysphagia may improve with surgical intervention if there is no improvement with conservative management.

How to Understand and Treat Laryngopharyngeal Reflux.

Laryngopharyngeal Reflux and Atypical Gastroesophageal Reflux Disease.

Response of Laryngopharyngeal Symptoms to Transoral Incisionless Fundoplication in Patients with Refractory Proven Gastroesophageal Reflux

In patients with objective evidence of GERD, TIF, or cTIF are safe and effective in controlling LPR symptoms as measured by normalization of RSI and improvement in patient satisfaction after TIF/cTIF.

Relationship between extralaryngeal endoscopic findings, proton pump inhibitor (PPI) response, and pH measures in suspected laryngopharyngeal reflux.

  • N. AgrawalR. Yadlapati B. Tan
  • Medicine
    Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus
  • 2019
Endoscopic scores of laryngeal and extralaryngeAl findings did not predict PPI response or oropharyngeAL acid exposure in suspected LPR.

Hoarseness.

Rethinking the laryngopharyngeal reflux treatment algorithm: Evaluating an alternate empiric dosing regimen and considering up‐front, pH‐impedance, and manometry testing to minimize cost in treating suspect laryngopharyngeal reflux disease

This work intends to evaluate once‐daily, 40 mg omeprazole and once‐nightly, 300 mg ranitidine dosing as an alternative regimen, and use this study's cohort to evaluate empiric regimens prescribed for LPR as compared to up‐front testing with pH impedance multichannel intraluminal impedance (MII) with dual pH probes and high‐resolution manometry (HRM) for potential cost minimization.

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