Laryngopharyngeal Reflux in Childhood

Abstract

Laryngopharyngeal reflux (LPR), is a recently recognized and investigated disease. Although there are many reports and studies about LPR in adults, there are not many in children. LPR occurs when gastric contents reflux beyond the esophagus to oropharynx and/or nasopharynx, producing symptoms and tissue damage. It has a wide clinical spectrum ranging from cough to apnea and appearent life treatening event. First of all, diagnosis needs recognition, then appropriate tests should be performed . Treatment depends on the severity of symptoms, disease and existence of underlying disease. LPR, should be sought among children with chronic cough, apnea, recurrent respiratory system infections, and managed by pediatric gastroenterology and ENT departments.

Keywords

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Çocukluk Çağında Laringofaringeal Reflü

Öz

Laringofarengeal reflü (LFR), son yıllarda giderek daha çok tanınan ve araştırılan bir hastalıktır. Yetişkinlerde bu konu ile ilgili çok sayıda yayın olmakla birlikte çocuklarda daha az çalışma mevcuttur. LFR, gastroözofageal reflünün üst özofagus sfinkterinin yukarısında kalan yapıları etkilemesi sonucu ortaya çıkan bir durumdur. Klinikte kronik öksürükten apne ve hayatı tehdit eden akut olaylara kadar değişen geniş bir semptom yelpazesine sahiptir. Tanıda öncelikle LFR'den şüphelenilmesi ve hasta ve bulgularına yönelik tetkikler yapılması gereklidir. Tedavi hastalık ağırlığına, altta yatan hastalıkların varlığına göre planlanmaktadır. LFR, kronik öksürük, apne, hırıltı tekrarlayan solunum yolu enfeksiyonlarında çocuklarda düşünülmesi gereken, Pediatrik Gastroenteroloji ve Kulak Burun Boğaz bölümleri ile koordineli olarak takip gerektirmekte olup uygun tedavi ile düzelen bir hastalıktır.

Anahtar Kelimeler

• Reflü, özofagus, larinks, çocuk

Kaynakça

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27. Kabul Tarihi: 11.03.2011