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Detection of gastroesophageal reflux by scintigraphy in patients with laryngopharyngeal symptoms and findings

Year 2003, Volume: 10 Issue: 4, 153 - 158, 15.08.2003

Abstract

Objectives: We investigated the incidence of gas­ troesophageal reflux by scintigraphy in patients with laryngopharyngeal symptoms and findings.Patients and Methods: The study included 32 patients 14 males, 18 females; mean age 38 years; range 17 to 55 years who presented with laryngopharyngeal complaints. AH patients undervvent routine ENT and head- neck examinations and rigid endoscopy of the larynx to determine laryngopharyngeal symptoms and findings.The presence of gastroesophageal reflux was sought by technetium 99m sülfür colloid scintigraphy.Results: The most common symptom was dyspha- gia 56% followed by hoarseness 46% . Posterior laryngitis was the most common laryngeal finding 18 patients, 56% . Scintigraphy revealed gastroe­ sophageal reflux in 21 patients 66% , 14 of whom 67% had posterior laryngitis.Conclusion: Patients with laryngopharyngeal symptoms and findings should be investigated with regard to gastroesophageal reflux. Scintigraphy may be a method of choice in thisrespect.

References

  • Yo rulmaz İ. Laringofaringeal reflü. KBB Foru m 2002;1:22-34. Available at URL: http://www. k b b - forum.net/journal/text.php3?id=3.
  • Paterson WG. Extraesophageal complications of gas- t roesophageal reflux disease. Can J Gastro e n t e ro l 1997;11 Suppl B:45B-50B.
  • K u r i l o ff DB, Chodosh P, Goldfarb R, Ongseng F. Detection of gastroesophageal reflux in the head and neck: the role of scintigraphy. Ann Otol Rhinol Laryngol 1 9 8 9 ; 9 8 : 7 4 - 8 0 .
  • Kahrilas PJ. Gastroesophageal reflux disease. JAMA 1996;276:983-8.
  • Ulualp SO, Toohill RJ. Laryngopharyngeal reflux: state of the art diagnosis and treatment. Otolaryngol Clin North Am 2000;33:785-802.
  • Koufman JA. The otolaryngologic manifestations of g a s t roesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24- hour pH monitoring and an experimental investiga- tion of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 1991;101(4 Pt 2 Suppl 53):1-78.
  • Koufman JA, Amin MR, Panetti M. Prevalence of reflux in 113 consecutive patients with laryngeal and voice disorders. Otolaryngol Head Neck Surg 2000; 123:385-8.
  • Ward PH, Hanson DG. Reflux as an etiological factor of carcinoma of the laryngopharynx. Laryngoscope 1988;98:1195-9.
  • Wilson JA, White A, von Haacke NP, Maran AG, Heading RC, Pryde A, et al. Gastroesophageal reflux and posterior laryngitis. Ann Otol Rhinol Laryngol 1989;98:405-10.
  • Tauber S, Gross M, Issing WJ. Association of laryn- gopharyngeal symptoms with gastroesophageal reflux disease. Laryngoscope 2002;112:879-86.
  • İfller M, Yönetci N, Çavufloğlu H. 24 saat intraözofaji- yal pH monitorizasyonu: Gastroözofajiyal reflü tanı- sındaki önemi ve yeni bir 24 saat intraözofajiyal pH bileflik skor yöntemi. Gastro e n t e rohepatoloji 1995; 6 : 8 7 - 9 4 .
  • Book DT, Rhee JS, Toohill RJ, Smith TL. Perspectives in laryngopharyngeal reflux: an international survey. Laryngoscope 2002;112:1399-406.
  • Kuhn J, Toohill RJ, Ulualp SO, Kulpa J, Hofmann C, Arndorfer R, et al. Pharyngeal acid reflux events in patients with vocal cord nodules. Laryngoscope 1998; 108:1146-9.
  • Toprak M, Öktem F, Ada M, Bozan S, Yener M. Pediat- rik gastroözofageal ve laringofaringeal reflü. Türk Otolaringoloji Arflivi 2000;38:182-6.
  • Ulualp SO, Toohill RJ, Hoffmann R, Shaker R. Pharyngeal pH monitoring in patients with posterior laryngitis. Otolaryngol Head Neck Surg 1999;120: 6 7 2 - 7 .
  • Yönetçi N, Çavufloğlu H. Gastroözofajiyal reflü send- romu ve bronfliyal astma. Gastro e n t e roloji 1992; 3: 1 2 5 - 8 .
  • Tolia V, Kuhns L, Kauffman RE. Comparison of simul- taneous esophageal pH monitoring and scintigraphy in infants with gastroesophageal reflux. Am J Gastroenterol 1993;88:661-4.
  • Shay SS, Abreu SH, Tsuchida A. Scintigraphy in gas- t roesophageal reflux disease: a comparison to e n d o s c o p y, LESp, and 24-h pH score, as well as to simultaneous pH monitoring. Am J Gastro e n t e rol 1992; 87:1094-101.
  • Seibert JJ, Byrne WJ, Euler AR, Latture T, Leach M, Campbell M. Gastroesophageal reflux-the acid test: scintigraphy or the pH probe? AJR Am J Roentgenol 1983;140:1087-90.
  • Soni PS, Sarojini C, Krishna BA. Gastroesophageal reflux scintigraphy with radioactive capsules-a new technique for detection and quantitation of reflux. Eur J Nucl Med 1990;16:345-8.
  • Braga FJ, De Miranda JR, Arbex MA, Haddad J, Zuolo Ferro S, de Oliveira RB, et al. A physiological manoeu- vre to improve the positivity of the gastro-oesophageal reflux scintigraphic test. Nucl Med Commun 2001; 22:521-4.

Larengofarenjeal semptom ve bulguları olan hastalarda gastroözofajeal reflü sıklığının sintigrafik yöntemle değerlendirilmesi

Year 2003, Volume: 10 Issue: 4, 153 - 158, 15.08.2003

Abstract

Amaç: Larengofarenjeal semptom ve bulguları olanhastalarda sintigrafi ile gastroözofageal reflü sıklığıarafltırıldı.Hastalar ve Yöntemler: Larengofarenjeal flikayetile baflvuran 32 hastada rutin KBB ve bafl-boyun muayenesi ve rijid endoskopi ile larenks muayenesi sonucunda larengofarenjeal semptom ve bulgular belirlendi. Tüm hastalarda gastroözofageal reflü varlığınıobjektif olarak göstermek için Tc 99m sülfür kolloidile sintigrafik görüntüleme yapıldı. Bulgular: En sık görülen semptom disfaji %56 ,ikinci olarak ses kısıklığı idi %46 . Posterior larenjit 18 hasta, %56 en sık görülen larengeal bulgu idi.Sintigrafide 21 hastada %66 reflü saptandı. Gastroözofageal reflü en sık posterior larenjitli hasta grubunda görüldü %67 .Sonuç: Larengofarenjeal semptom ve bulgular gastroözofajeal reflünün habercisi olabileceğinden bu olgularda gastroözofageal reflü açısından arafltırma yapılmalıdır. Bu amaçla sintigrafik yöntem kullanılabilir.

References

  • Yo rulmaz İ. Laringofaringeal reflü. KBB Foru m 2002;1:22-34. Available at URL: http://www. k b b - forum.net/journal/text.php3?id=3.
  • Paterson WG. Extraesophageal complications of gas- t roesophageal reflux disease. Can J Gastro e n t e ro l 1997;11 Suppl B:45B-50B.
  • K u r i l o ff DB, Chodosh P, Goldfarb R, Ongseng F. Detection of gastroesophageal reflux in the head and neck: the role of scintigraphy. Ann Otol Rhinol Laryngol 1 9 8 9 ; 9 8 : 7 4 - 8 0 .
  • Kahrilas PJ. Gastroesophageal reflux disease. JAMA 1996;276:983-8.
  • Ulualp SO, Toohill RJ. Laryngopharyngeal reflux: state of the art diagnosis and treatment. Otolaryngol Clin North Am 2000;33:785-802.
  • Koufman JA. The otolaryngologic manifestations of g a s t roesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24- hour pH monitoring and an experimental investiga- tion of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 1991;101(4 Pt 2 Suppl 53):1-78.
  • Koufman JA, Amin MR, Panetti M. Prevalence of reflux in 113 consecutive patients with laryngeal and voice disorders. Otolaryngol Head Neck Surg 2000; 123:385-8.
  • Ward PH, Hanson DG. Reflux as an etiological factor of carcinoma of the laryngopharynx. Laryngoscope 1988;98:1195-9.
  • Wilson JA, White A, von Haacke NP, Maran AG, Heading RC, Pryde A, et al. Gastroesophageal reflux and posterior laryngitis. Ann Otol Rhinol Laryngol 1989;98:405-10.
  • Tauber S, Gross M, Issing WJ. Association of laryn- gopharyngeal symptoms with gastroesophageal reflux disease. Laryngoscope 2002;112:879-86.
  • İfller M, Yönetci N, Çavufloğlu H. 24 saat intraözofaji- yal pH monitorizasyonu: Gastroözofajiyal reflü tanı- sındaki önemi ve yeni bir 24 saat intraözofajiyal pH bileflik skor yöntemi. Gastro e n t e rohepatoloji 1995; 6 : 8 7 - 9 4 .
  • Book DT, Rhee JS, Toohill RJ, Smith TL. Perspectives in laryngopharyngeal reflux: an international survey. Laryngoscope 2002;112:1399-406.
  • Kuhn J, Toohill RJ, Ulualp SO, Kulpa J, Hofmann C, Arndorfer R, et al. Pharyngeal acid reflux events in patients with vocal cord nodules. Laryngoscope 1998; 108:1146-9.
  • Toprak M, Öktem F, Ada M, Bozan S, Yener M. Pediat- rik gastroözofageal ve laringofaringeal reflü. Türk Otolaringoloji Arflivi 2000;38:182-6.
  • Ulualp SO, Toohill RJ, Hoffmann R, Shaker R. Pharyngeal pH monitoring in patients with posterior laryngitis. Otolaryngol Head Neck Surg 1999;120: 6 7 2 - 7 .
  • Yönetçi N, Çavufloğlu H. Gastroözofajiyal reflü send- romu ve bronfliyal astma. Gastro e n t e roloji 1992; 3: 1 2 5 - 8 .
  • Tolia V, Kuhns L, Kauffman RE. Comparison of simul- taneous esophageal pH monitoring and scintigraphy in infants with gastroesophageal reflux. Am J Gastroenterol 1993;88:661-4.
  • Shay SS, Abreu SH, Tsuchida A. Scintigraphy in gas- t roesophageal reflux disease: a comparison to e n d o s c o p y, LESp, and 24-h pH score, as well as to simultaneous pH monitoring. Am J Gastro e n t e rol 1992; 87:1094-101.
  • Seibert JJ, Byrne WJ, Euler AR, Latture T, Leach M, Campbell M. Gastroesophageal reflux-the acid test: scintigraphy or the pH probe? AJR Am J Roentgenol 1983;140:1087-90.
  • Soni PS, Sarojini C, Krishna BA. Gastroesophageal reflux scintigraphy with radioactive capsules-a new technique for detection and quantitation of reflux. Eur J Nucl Med 1990;16:345-8.
  • Braga FJ, De Miranda JR, Arbex MA, Haddad J, Zuolo Ferro S, de Oliveira RB, et al. A physiological manoeu- vre to improve the positivity of the gastro-oesophageal reflux scintigraphic test. Nucl Med Commun 2001; 22:521-4.
There are 21 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Ercan Pınar This is me

Semih Öncel This is me

Çağlar Çallı This is me

Mücahit Atalay This is me

Publication Date August 15, 2003
Published in Issue Year 2003 Volume: 10 Issue: 4

Cite

APA Pınar, E., Öncel, S., Çallı, Ç., Atalay, M. (2003). Larengofarenjeal semptom ve bulguları olan hastalarda gastroözofajeal reflü sıklığının sintigrafik yöntemle değerlendirilmesi. The Turkish Journal of Ear Nose and Throat, 10(4), 153-158.
AMA Pınar E, Öncel S, Çallı Ç, Atalay M. Larengofarenjeal semptom ve bulguları olan hastalarda gastroözofajeal reflü sıklığının sintigrafik yöntemle değerlendirilmesi. Tr-ENT. August 2003;10(4):153-158.
Chicago Pınar, Ercan, Semih Öncel, Çağlar Çallı, and Mücahit Atalay. “Larengofarenjeal Semptom Ve Bulguları Olan Hastalarda gastroözofajeal Reflü sıklığının Sintigrafik yöntemle değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat 10, no. 4 (August 2003): 153-58.
EndNote Pınar E, Öncel S, Çallı Ç, Atalay M (August 1, 2003) Larengofarenjeal semptom ve bulguları olan hastalarda gastroözofajeal reflü sıklığının sintigrafik yöntemle değerlendirilmesi. The Turkish Journal of Ear Nose and Throat 10 4 153–158.
IEEE E. Pınar, S. Öncel, Ç. Çallı, and M. Atalay, “Larengofarenjeal semptom ve bulguları olan hastalarda gastroözofajeal reflü sıklığının sintigrafik yöntemle değerlendirilmesi”, Tr-ENT, vol. 10, no. 4, pp. 153–158, 2003.
ISNAD Pınar, Ercan et al. “Larengofarenjeal Semptom Ve Bulguları Olan Hastalarda gastroözofajeal Reflü sıklığının Sintigrafik yöntemle değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat 10/4 (August 2003), 153-158.
JAMA Pınar E, Öncel S, Çallı Ç, Atalay M. Larengofarenjeal semptom ve bulguları olan hastalarda gastroözofajeal reflü sıklığının sintigrafik yöntemle değerlendirilmesi. Tr-ENT. 2003;10:153–158.
MLA Pınar, Ercan et al. “Larengofarenjeal Semptom Ve Bulguları Olan Hastalarda gastroözofajeal Reflü sıklığının Sintigrafik yöntemle değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat, vol. 10, no. 4, 2003, pp. 153-8.
Vancouver Pınar E, Öncel S, Çallı Ç, Atalay M. Larengofarenjeal semptom ve bulguları olan hastalarda gastroözofajeal reflü sıklığının sintigrafik yöntemle değerlendirilmesi. Tr-ENT. 2003;10(4):153-8.