Value of Transnasal Esophagoscopy in the Workup of Laryngo-Pharyngeal Reflux
| Autor: | Karolos Fostiropoulos, Emanuel Burri, Lukas Horvath, Marcel Kraft |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pharyngeal reflux extraesophageal reflux gastroesophageal reflux Article Hiatal hernia 03 medical and health sciences Laryngopharyngeal reflux 0302 clinical medicine immune system diseases medicine nose Reflux symptom endoscopy skin and connective tissue diseases 030223 otorhinolaryngology Nose medicine.diagnostic_test business.industry Reflux deglutition disorders General Medicine medicine.disease digestive system diseases Endoscopy medicine.anatomical_structure 030220 oncology & carcinogenesis Transnasal esophagoscopy Medicine esophagoscopy Radiology business |
| Zdroj: | Journal of Clinical Medicine, Vol 10, Iss 3188, p 3188 (2021) Journal of Clinical Medicine Volume 10 Issue 14 |
| ISSN: | 2077-0383 |
| DOI: | 10.3390/jcm10143188 |
| Popis: | Background: Laryngopharyngeal reflux (LPR) can display a variety of symptoms, and upper endoscopy is occasionally used for its investigation. The aim of the present study was to determine the value of transnasal esophagoscopy (TNE) in the workup of LPR. Methods: In 200 consecutive patients with suspected LPR, reflux symptom index (RSI), reflux finding score (RFS), oropharyngeal pH-monitoring (PHM) and transnasal esophagoscopy (TNE) were carried out and rated according to the Horvath Score. Results: In the investigation of LPR, TNE showed a sensitivity, specificity and accuracy of 96%, 85% and 95%, respectively. The most common pathologic TNE findings in LPR patients were an insufficient cardia, hiatal hernia, lymphoid follicles and visible reflux. Conclusions: TNE is a supportive method in the workup of LPR, which can display the underlying pathology and directly affect therapeutic decisions. |
| Databáze: | OpenAIRE |
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