UNLABELLED Esophago-pharyngeal regurgitation is implicated in various otolaryngologic and respiratory disorders. The pathophysiological mechanisms causing regurgitation are still largely unknown. AIM To determine the principal mechanisms behind esophago-pharyngeal regurgitation. METHODS We studied 11 patients with extra-esophageal GORD symptoms in whom esophago-pharyngeal acid regurgitation...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 aim : this study was designed to investigate about findings of impedance ph-monitoring in patients with atypical symptoms of gerd. background : the routine treatment with proton pump inhibitors is not very effective in patients with atypical symptoms of gastro-esophageal reflux disease (gerd). it may be due to non-acid ref...

Laparoscopic and thoracoscopic techniques have provided a new dimension in the correction of functional disorders of the esophagus. Therapeutic success, however, depends on the confirmation of esophageal disease as a cause of the symptoms, on understanding the basic cause of dysfunction and on identifying the surgical patient. This study is a retrospective study of patients submitted to surgery...

The incidence of gastroesophageal reflux disease (GERD) is increasing and if left untreated can lead to significant patient morbidity and even death. The disease results from the abnormal reflux of gastric contents into the distal esophagus causing symptoms in most and subsequent mucosal damage in some. Several investigations can be used to confirm the diagnosis, but most are dependent on the p...

background gastroesophageal reflux disease (gerd) is a common problem seen in pediatrics and adolescents. the bravo tm ph monitoring system is a capsule that detects and quantifies the severity of reflux disease. this test is also valuable for evaluation of patients with extra-gastrointestinal manifestations of gerd such as asthma, chronic cough, hoarseness, aspiration pneumonia, and pre/post f...

The association between gastroesophageal reflux disease (GERD) and extraesophageal symptoms is poorly understood and difficult to document. pH monitoring in this group of patients has resulted in conflicting data due to lack of diagnostic sensitivity. Recently, a new sensitive pH device for detection of liquid and aerosolized droplets in the oropharynx (The Dx-pH Measurement System [Dx-pH]) has...

pH testing remains a commonly used evaluative tool in clinical practice. However, the original tool that included a nasally placed pH catheter was plagued with a variety of shortcomings, primarily the effect of the procedure on patients' lifestyle and thus on reflux-provoking activities. The miniaturization of evaluative techniques in gastroenterology was the impetus for the development of the ...

. Demonstrate an understanding of the natural history and manifestations of reflux disease . Evaluate the role of diagnostic testing such as endoscopy, esophageal manometry, ambulatory pH monitoring, and impedance-pH monitoring in the management of patients with gastroesophageal reflux disease . Evaluate the options for treatment of patients with complicated and uncomplicated reflux disease.