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Incidence and treatment results of laryngopharyngeal reflux in chronic obstructive pulmonary disease

  • Laryngology
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Abstract

Laryngopharyngeal reflux (LPR) is defined as the movement of gastric content towards the larynx and the pharynx and it may cause respiratory symptoms or difficulty in their control. We aimed to find the frequency of LPR in chronic obstructive pulmonary disease (COPD) patients and to investigate its effect on COPD symptoms and the results of its treatment. At baseline 30 (20 male, 10 female, mean age: 65 ± 10 years) COPD patients completed LPR and COPD symptom questionnaires and 13 (44%) were diagnosed with LPR based on laryngeal examination. Patients with LPR were given 2 months of PPI treatment, after which LPR and COPD symptom questionnaires, laryngeal examinations and pulmonary function tests were repeated. Following the treatment, significant improvements in COPD symptom index, LPR symptom index and laryngeal examination findings were observed in patients with LPR (P < 0.01, P < 0.01, P < 0.0001, respectively). Treatment of LPR resulted in a significant improvement in the symptoms of COPD.

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References

  1. Koufman JA, Aviv JE, Casiano RR et al (2002) Laryngopharyngeal reflux: position statement of the committee on speech, voice, and swallowing disorders of the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngol Head Neck Surg 127:32–35

    Article  PubMed  Google Scholar 

  2. Koufman JA (2002) Laryngopharyngeal reflux is different from classic gastroesophageal reflux disease. Ear Nose Throat J 81:7–9

    PubMed  Google Scholar 

  3. Cohen JT, Bach KK, Postma GN et al (2002) Clinical manifestations of laryngopharyngeal reflux. Ear Nose Throat J 81:19–23

    PubMed  Google Scholar 

  4. Boyle JT, Tuchman DN, Altschuler SM et al (1985) Mechanisms for the association of gastroesophageal reflux and bronchospasm. Am Rev Respir Dis 131:16–20

    Google Scholar 

  5. Mansfield LE, Stein MR (1978) Gastroesophageal reflux and asthma: a possible reflex mechanism. Ann Allergy 41:224–226

    CAS  PubMed  Google Scholar 

  6. Orr WC, Shamma-Othman Z, Allen M et al (1992) Esophageal function and gastroesophageal reflux during sleep and waking in patients with chronic obstructive pulmonary disease. Chest 101:1521–1525

    Article  CAS  PubMed  Google Scholar 

  7. Stein MR, Towner TG, Weber RW et al (1980) The effect of theophylline on the lower esophageal sphincter pressure. Ann Allergy 45:238–241

    CAS  PubMed  Google Scholar 

  8. Crowell MD, Zayat EN, Lacy BE et al (2001) The effects of an inhaled beta (2)-adrenergic agonist on lower esophageal function: a dose–response study. Chest 120:1184–1189

    Article  CAS  PubMed  Google Scholar 

  9. Zheng Z, Nordenstedt H, Pedersen NL et al (2007) Lifestyle factors and risk for symptomatic gastroesophageal reflux in monozygotic twins. Gastroenterology 132:87–95

    Article  PubMed  Google Scholar 

  10. Nilsson M, Johnsen R, Ye W et al (2004) Lifestyle-related risk factors in the aetiology of gastro-oesophageal reflux. Gut 53:1730–1735

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Nocon M, Labenz J, Willich SN (2006) Lifestyle factors and symptoms of gastro-oesophageal reflux a population-based study. Aliment Pharmacol Ther 23:169–174

    Article  CAS  PubMed  Google Scholar 

  12. Tutuian R, Castell DO (2004) Diagnosis of laryngopharyngeal reflux. Curr Opin Otolaryngol Head Neck Surg 12:174–179

    Article  PubMed  Google Scholar 

  13. Belafsky PC, Postma GN, Koufman JA (2002) Validity and reliability of the reflux symptom index. J Voice 16:274–277

    Article  PubMed  Google Scholar 

  14. D’Ovidio F, Singer LG, Hadjiliadis D et al (2005) Prevalence of gastroesophageal reflux in end-stage lung disease candidates for lung transplant. Ann Thorac Surg 80:1254–1260

    Article  PubMed  Google Scholar 

  15. Kempainen RR, Savik K, Whelan TP et al (2007) High prevalence of proximal and distal gastroesophageal reflux disease in advanced COPD. Chest 131(6):1666–1671

    Article  PubMed  Google Scholar 

  16. American Thoracic Society (1995) Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 152:77–121

    Google Scholar 

  17. Anthonisen NR, Manfreda J, Warren CP et al (1987) Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease. Ann Intern Med 106:196–204

    Article  CAS  PubMed  Google Scholar 

  18. Belafsky PC, Postma GN, Koufman JA (2001) The validity and reliability of the reflux finding score. Laryngoscope 111:1313–1317

    Article  CAS  PubMed  Google Scholar 

  19. Casanova C, Baudet JS, e Velasco M et al (2004) Increased gastro-oesophageal reflux disease in patients with severe COPD. Eur Respir J 23:841–845

    Article  CAS  PubMed  Google Scholar 

  20. Belafsky PC, Postma GN, Amin MR et al (2002) Symptoms and findings of laryngopharyngeal reflux. Ear Nose Throat J 81:10–13

    PubMed  Google Scholar 

  21. Postma GN, Belafsky PC, Aviv JE et al (2002) Laryngopharyngeal reflux testing. Ear Nose Throat J 81:14–18

    PubMed  Google Scholar 

  22. Katz PO (1990) Ambulatory esophageal and hypopharyngeal pH monitoring in patients with hoarseness. Am J Gastroenterol 85:38–40

    CAS  PubMed  Google Scholar 

  23. Dagli S, Dagli U, Kurtaran H et al (2004) Laryngopharyngeal reflux in laryngeal cancer. Turk J Gastroenterol 15:77–81

    PubMed  Google Scholar 

  24. Mokhlesi B, Morris AL, Huang CF et al (2001) Increased prevalence of gastroesophageal reflux symptoms in patients with COPD. Chest 119:1043–1048

    Article  CAS  PubMed  Google Scholar 

  25. Rascon-Aguilar IE, Pamer M, Wludyka P et al (2006) Role of gastroesophageal reflux symptoms in exacerbations of COPD. Chest 130:1096–1101

    Article  PubMed  Google Scholar 

  26. Eryuksel E, Dogan M, Golabi P et al (2006) Treatment of laryngopharyngeal reflux improves asthma symptoms in asthmatics. J Asthma 43:539–542

    Article  PubMed  Google Scholar 

  27. Mjönes AB, Ledin T, Grahn LT et al (2005) Hoarseness and misdirected swallowing before and after antireflux surgery. Acta Otolaryngol 125:82–85

    Article  PubMed  Google Scholar 

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Correspondence to Emel Eryuksel.

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Eryuksel, E., Dogan, M., Olgun, S. et al. Incidence and treatment results of laryngopharyngeal reflux in chronic obstructive pulmonary disease. Eur Arch Otorhinolaryngol 266, 1267–1271 (2009). https://doi.org/10.1007/s00405-009-0922-y

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  • DOI: https://doi.org/10.1007/s00405-009-0922-y

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