인후두역류증이 의심되는 환자에서 비디오투시법의 역할
Value of Videofluoroscopy in Patients with Suspected Laryngopharyngeal Reflux
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Backgrounds and Objectives：The aim of this study was to investigate the value of videofluoroscopy (VF) inpatients with laryngopharyngeal reflux (LPR) suspected on the basis of reflux symptom index (RSI) and refluxfinding score (RFS). Materials and Methods：The patients with RSI ＞13 and RFS ＞7 were enrolled. The VFwas conducted in all patients, who were divided into the reflux and the no reflux group. Proton pump inhibitor(PPI) was prescribed to all patients for more than 8 weeks. Results：Sixty-six patients were followed for 8 weeks. On VF, 32 patients (48.5%) had reflux and 34 patients had no reflux. The two groups showed no significant differ -ences in demographic data, baseline characteristics, the mean changes in RSI and RFS after treatment. There wasno correlation between the presence or absence of reflux and the effectiveness of PPI treatment. Conclusions：Among our patient population, a subgroup including about half of the patients was found to have reflux on VF. Therefore, at least in this subgroup, VF may have a role to support the diagnosis of the patients with suspectedLPR.
Abstract
Backgrounds and Objectives：The aim of this study was to investigate the value of videofluoroscopy (VF) inpatients with laryngopharyngeal reflux (LPR) suspected on the basis of reflux symptom index (RSI) and refluxfinding score (RFS). Materials and Methods：The patients with RSI ＞13 and RFS ＞7 were enrolled. The VFwas conducted in all patients, who were divided into the reflux and the no reflux group. Proton pump inhibitor(PPI) was prescribed to all patients for more than 8 weeks. Results：Sixty-six patients were followed for 8 weeks. On VF, 32 patients (48.5%) had reflux and 34 patients had no reflux. The two groups showed no significant differ -ences in demographic data, baseline characteristics, the mean changes in RSI and RFS after treatment. There wasno correlation between the presence or absence of reflux and the effectiveness of PPI treatment. Conclusions：Among our patient population, a subgroup including about half of the patients was found to have reflux on VF. Therefore, at least in this subgroup, VF may have a role to support the diagnosis of the patients with suspectedLPR.
참고문헌 (15)
- Koufman JA, "The otolaryngologic manifestations of gastroesophageal reflux disease", Laryngoscope, 101(4), pp.1~78 (1991)
- Koufman JA, "Prevalence of reflux in 113 consecutive patients with laryngeal and voice disorders", Otolaryngol-Head Neck Surg, 123(4), pp.385~388 (2003)
- Mahrous AK, "Positive findings on barium swallow in patients presenting with a “sensation of a lump in the throat”", Eur Arch Otorhinolaryngol, 269(3), pp.1047~1050 (2012)
- Caylakli F, "Evaluation of patients with globus pharyngeus with barium sw-allow pharyngoesophagography", Laryngoscope, 116(1), pp.37~39 (2006)
- Back GW, "Value of barium swallow in investigation of globus pharyngeus", J Laryngol Otol, 114(12), pp.951~954 (2000)
- Chen CL, "Utility of ambulatory pH monitoring and videofluoroscopy for the evaluation of patients with globus pharyngeus", Dysphagia, 22(1), pp.16~19 (2007)
- Adachi J, "Relationship between globus sensation and esophageal clearance", Acta Otolaryngol, 130(1), pp.138~144 (2010)
- Chung JY, "Globus sensation: findings on videofluoroscopic examinations", Can Assoc Radiol J, 54(1), pp.35~40 (2003)
- Kimura Y, "Value of barium swallow studies in predicting the response to rabeprazole in elderly patients with laryngopharyngeal reflux disease and nonerosive reflux disease in particular", Ann Otol Rhinol Laryngol, 119(9), pp.631~635 (2010)
- Belafsky PC, "Validity and reliability of the reflux symptom index (RSI)", J Voice, 16(2), pp.274~277 (2002)
- Belafsky PC, "The validity and reliability of the reflux finding score (RFS)", Laryngoscope, 111(8), pp.1313~1317 (2001)
- Belafsky PC, "Laryngopharyngeal reflux symptoms improve before changes in physical findings", Laryngoscope, 111, pp.979~981 (2001)
- Kelchner LN, "Reliability of speech-language pathologist and otolaryngologist ratings of laryngeal signs of reflux in an asymptomatic population using the reflux finding score", J Voice, 21(1), pp.92~100 (2007)
- Fass R, "Empirical trials in treatment of gastroesophageal reflux disease", Dig Dis, 18(1), pp.20~26 (2000)
- Thompson JK, "Detection of gastroesophageal reflux: value of barium studies compared with 24-hr pH monitoring", AJR, 162, pp.621~626 (1994)