Management of Laryngopharyngeal Reflux in Asia

김수일; Jerome R. Lechien; Tareck Ayad; Huan Jia; Seyyedeh Maryam Khoddami; Necati Enver; Sampath Kumar Raghunandhan; Abdul Latif Hamdan; 은영규

추천

검색

자료유형: 학술저널

저자정보: 김수일 (경희대학교병원 이비인후과) Jerome R. Lechien (University of Mons) Tareck Ayad (Centre Hospitalier de l’Universite de Montreal) Huan Jia (Shanghai Jiaotong University School of Medicine) Seyyedeh Maryam Khoddami (Tehran University of Medical Sciences) Necati Enver (Marmara University Pendik Training and Research Hospital) Sampath Kumar Raghunandhan (Madras ENT Research Foundation) Abdul Latif Hamdan (American University of Beirut Medical Center) 은영규 (경희대학교)

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제13권 제3호

발행연도: 2020.1

수록면: 299 - 307 (9page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objectives. This study was conducted to investigate the current practices of Asian otolaryngologists for laryngopharyngeal reflux (LPR). Methods. An online survey about LPR was sent to 2,000 members of Asian otolaryngological societies, and a subgroup analysis was performed between Western and Eastern Asian otolaryngologists. The survey was conducted by the Laryngopharyngeal Reflux Study Group of Young Otolaryngologists of the International Federation of Oto-rhino-laryngological Societies. Results. Among approximately 1,600 Asian otolaryngologists, 146 completed the survey (62 from Western Asian countries, 84 from Eastern Asian countries). A substantial majority (73.3%) of the otolaryngologists considered LPR and gastroesophageal reflux disease to be different diseases. The symptoms thought to be closely related to LPR were coughing after lying down, throat clearing, and globus sensation. The findings thought to be closely related to LPR were posterior commissure granulations and hypertrophy, arytenoids, and laryngeal erythema. The respondents indicated that they mostly diagnosed LPR (70%) after an empirical therapeutic trial of proton pump inhibitors (PPIs). Although multichannel intraluminal impedance-pH (MII-pH) monitoring is a useful tool for diagnosing nonacid or mixed LPR, 78% of Asian otolaryngologists never or very rarely used MII-pH. Eastern Asian otolaryngologists more frequently used once-daily PPIs (64.3% vs. 45.2%, P=0.021), whereas Western Asian otolaryngologists preferred to use twice-daily PPIs (58.1% vs. 39.3%, P=0.025). The poor dietary habits of patients were considered to be the main reason for therapeutic failure by Asian otolaryngologists (53.8%). Only 48.6% of Asian otolaryngologists considered themselves to be adequately knowledgeable and skilled regarding LPR. Conclusion. Significant differences exist between Western and Eastern Asian otolaryngologists in the diagnosis and treatment of LPR. Future consensus statements are needed to establish diagnostic criteria and therapeutic regimens.

#Laryngopharyngeal Reflux #Otolaryngologist #Disease Management #Therapeutics #Surveys and Questionnaires

참고문헌 (38)

참고문헌 신청

Lechien JR / 2019 / Clinical outcomes of laryngopharyngeal reflux treatment : a systematic review and meta-analysis / Laryngoscope 129(5):1174~1187

Mosli M / 2018 / Prevalence and clinical predictors of LPR among patients diagnosed with GERD according to the reflux symptom index questionnaire / Saudi J Gastroenterol 24(4):236~241

Koufman JA / 2002 / Laryngopharyngeal reflux : position statement of the committee on speech, voice, and swallowing disorders of the American Academy of Otolaryngology-Head and Neck Surgery / Otolaryngol Head Neck Surg 127(1):32~35

Eusebi LH / 2018 / Global prevalence of, and risk factors for, gastro-oesophageal reflux symptoms : a meta-analysis / Gut 67(3):430~440

Kamani T / 2012 / The prevalence of laryngopharyngeal reflux in the English population / Eur Arch Otorhinolaryngol 269(10):2219~2225

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!