Typical GERD symptoms and esophageal pH monitoring are not enough to diagnose pharyngeal reflux.

@article{Oelschlager2005TypicalGS,
  title={Typical GERD symptoms and esophageal pH monitoring are not enough to diagnose pharyngeal reflux.},
  author={Brant Kurt Oelschlager and Lily Yu-Li Chang and Charles E. Pope and Carlos A. Pellegrini},
  journal={The Journal of surgical research},
  year={2005},
  volume={128 1},
  pages={55-60}
}
BACKGROUND Abnormal pharyngeal reflux of acid (PR) (as measured by pH monitoring) is associated with microaspiration, and is a good predictor of airway symptom response to medical and surgical anti-reflux therapy. However, in clinical practice the link between airway disease and Gastroesophageal reflux disease (GERD) is still based on the presence of typical symptoms (e.g., heartburn) and/or standard esophageal function testing (manometry and 24-pH monitoring). PR is rarely measured directly… CONTINUE READING
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