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

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

Ercan Pınar Semih Öncel Çağlar Çallı Mücahit Atalay

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.

Keywords

Gastroesophageal reflux/diagnosis/complications/radionuclide imaging, laryngeal diseases/etiology, pharyngeal diseases/etiology, technetium Tc 99m sülfür colloid/diagnostic use

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

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.

Keywords

Gastroözofajeal reflü/tan›/komplikasyon/radionüklid görüntüleme, larenjeal hastalıklar/etyoloji, farenjeal hastalıklar/etyoloji, technetium Tc 99m sülfür kolloid/tanısal kullanım.

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