Investigation of extraesophageal gastroesophageal reflux disease
نویسندگان
چکیده
The most common extraesophageal manifestations of gastroesophageal reflux disease (GERD) include chronic cough, asthma and laryngitis. There are two mechanisms proposed to explain extraesophageal syndromes caused by GERD. The first one is a direct way via irritation and/or microaspiration and the second one is an indirect, vagally mediated way. The investigation of extraesophageal manifestations of GERD is difficult and the empirical therapy with proton pump inhibitors usually double dose for at least three months is still the most common approach.
منابع مشابه
New developments in extraesophageal reflux disease.
Gastroesophageal reflux disease (GERD) can present with a wide variety of extraesophageal symptoms that are usually difficult to diagnose because of the absence of typical GERD symptoms (ie, regurgitation or heartburn). The diagnostic process is further complicated by the lack of a definitive test for identifying GERD as the cause of extraesophageal reflux symptoms. Due to the low predictive va...
متن کاملExtraesophageal manifestations of gastroesophageal reflux disease.
Gastroesophageal reflux disease often presents as heartburn and acid reflux, the so-called "typical" symptoms. However, a subgroup of patients presents a collection of signs and symptoms that are not directly related to esophageal damage. These are known collectively as the extraesophageal manifestations of gastroesophageal reflux disease. Principal among such manifestations are bronchospasm, c...
متن کاملDental Erosions – Extraesophageal Manifestation of Gastroesophageal Reflux
Dentists are often the first healthcare line that can – diagnose certain systemic diseases through their oral manifestations. One of such diseases is the gastroesophageal reflux disease (GERD) which may be recognised through its extraesophageal manifestation in the form of dental erosions (Howeden, 1971; Myllarniemi & Saario, 1985; Jarvinen et al., 1988; Bartlett & Smith.1996; Lazarchik &Filler...
متن کاملTraditional reflux parameters and not impedance monitoring predict outcome after fundoplication in extraesophageal reflux.
OBJECTIVES/HYPOTHESIS Fundoplication is considered in patients with refractory extraesophageal reflux symptoms. However, postoperative symptom resolution is inconsistent. This analysis investigates which presenting symptoms and preoperative objective parameters predict postoperative symptom improvement. STUDY DESIGN Retrospective cohort study. METHODS A total of 237 patients referred for ex...
متن کاملDiagnosis and management of gastroesophageal reflux disease (GERD): an Indian perspective.
UNLABELLED NEED AND PURPOSE: The scarcity of literature and lack of published guidelines on gastroesophageal reflux disease (GERD) from India, have necessitated this review. METHODS A literature search in PubMed was conducted with regard to epidemiology, clinical features, investigation and management of GERD in children. English language studies published full over the last 20 years were con...
متن کامل