Document Detail


Gastro-esophago-pharyngeal reflux.
MedLine Citation:
PMID:  895305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reflux of gastric contents into the esophagus, pharynx, and larynx does occur. This phenomenon can produce hoarseness, globus, dysphagia, otalgia and laryngospasm. It may be responsible for the appearance of contact granulomata, esophageal webs, and pachyderma. The key to reflux is the lower esophageal sphincter and the nature of the stomach contents. Multiple factors may be influential including those conditions causing aerophagia. The diagnosis of reflux depends on a high index of suspicion. Physical findings may reveal only subtle changes of arytenoid erythema. Thyrohyoid tenderness is not an infrequent sign. Treatment is usually simple, involving first elimination of those factors which increase intragastric pressure or lower the lower esophageal sphincter pressure. Elevation of the head of the bed and antacids will often prevent further gastric insult to the pharynx and larynx and thus eliminate the patient's discomfort.
Authors:
P L Chodosh
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  87     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1977 Sep 
Date Detail:
Created Date:  1977-10-20     Completed Date:  1977-10-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1418-27     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Child
Esophagogastric Junction / anatomy & histology,  physiopathology
Esophagus / anatomy & histology
Female
Gastroesophageal Reflux / diagnosis*,  therapy
Humans
Male
Middle Aged
Pharyngeal Diseases / diagnosis*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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