Gastro-esophageal reflux laryngitis

Gastro-esophageal reflux laryngitis

The daily experience, evidenced based, shows a significant increase in gastro-esophageal reflux disease: many acid-related disorders, laryngeal-level, were labeled as "hysterical world" and treated accordingly with spasmolytic and anti-anxiety drugs! many granulomas were operated in microlaringoscopia chordal back several times and promptly recurred. The cough frequently, especially after meals and at night were classified as allergic or "nervous." Currently, adequate medical history, a complete ENT evaluation (examination naso.fibrolaringoscopico) can 'highlight a gastro-esophageal reflux laryngitis divided into four stages: a) mucosal swelling and hyperemia interaritenoidea back, b) hyperemia of the true vocal cords; c ) ab chord granuloma rear of 1-2 mm in diameter d) abc granuloma interesting character with the entire vocal cord dispneizzante. Medical therapy with pantoprazole 40 mg / day or 80 mg (PPI: proton pump inhibitors) according to the severity 'of disease, with a minimum of 60 days of treatment, mean 6 months, indefinitely in the presence of esophagus Barrett. Essential to the evaluation of the gastroenterologist in stage "c" and "d" or treatment with pantoprazole over 60 days.: Gastroenterologists recommend an endoscopy with biopsy after 40 years and in the presence of recurrence of symptoms after discontinuation of therapy. useful UBT (urea breath test). Not very useful sec. gastroenterologists. the pH-metry and gastroesophageal traditional check dual probe (two sensors: one at CRIC-esophageal level and the other gastro-esophageal), considered very methodical investigation and uncomfortable for the patient.

For further details: "Multicenter study: clinical and statistical correlation between clinical and instrumental findings in reflux Pharyngolaryngeal: proposed new criteria for classification of reflux in ENT" CA Leone, F. Moscow - Department of ENT, Monaldi Hospital, Naples - ACTA OTORHINOLAYNGOLOGICA ITALICA 26.264-270, 2006

Dr. Carmine Capasso
MD ENT