How to Approach Laryngopharyngeal Reflux: An Otolaryngology Perspective

@article{Dhillon2016HowTA,
  title={How to Approach Laryngopharyngeal Reflux: An Otolaryngology Perspective},
  author={Vaninder K. Dhillon and L. 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… Expand
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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. Expand
Treating laryngopharyngeal reflux: Evaluation of an anti-reflux program with comparison to medications.
TLDR
The anti-reflux program yielded rapid and substantial results for a large cohort of patients with LPR and was effective in improving cough and treating patients who had previously failed medications alone. Expand
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TLDR
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Salivary Pepsin Test: Useful and Simple Tool for the Laryngopharyngeal Reflux Diagnosis
TLDR
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  • 2019
TLDR
Endoscopic scores of laryngeal and extralaryngeAl findings did not predict PPI response or oropharyngeAL acid exposure in suspected LPR. Expand
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
TLDR
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The Diagnostic Usefullness of the Salivary Pepsin Test in Symptomatic Laryngopharyngeal Reflux.
TLDR
The PEP-test is a simple, inexpensive, non-invasive and easily reproducible test that should be considered as an alternative diagnosis tool for LPR diagnosis when there is a clinical suspicion of LPR disease, but on subjects with negative results it should be complemented with more complex tests such as the 24-hour dual-channel pH-metry. Expand
Association between gastroesophageal reflux disease and vocal fold polyps
TLDR
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Does the Reflux Symptom Index Predict Increased Pharyngeal Events on HEMII-pH Testing and Correlate with General Quality of Life?
TLDR
There is moderate sensitivity and lack of specificity of the RSI for detecting increased pharyngeal reflux events, and reflux-specific and general health status instruments are correlated. Expand
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