Wireless upper esophageal monitoring for laryngopharyngeal reflux (LPR)

作者: Michael Friedman , Paul Schalch , Ramakrishnan Vidyasagar , Kedar A. Kakodkar , Narges Mazloom

DOI: 10.1016/J.OTOHNS.2007.04.014

关键词: Esophageal pH monitoringEsophagusOccult diseaseTolerabilityMedicineFiberoptic laryngoscopyIn patientGERDSurgeryLaryngopharyngeal reflux

摘要: Objectives To confirm feasibility of transnasal placement a wireless pH-monitoring capsule in the upper esophagus, and to determine positive predictive value LPR GERD signs symptoms for diagnosis patients with OSAHS. Study Design Prospective, nonrandomized, IRB-approved study 89 OSAHS without LPR. Methods After complete history including QOL survey fiberoptic laryngoscopy, underwent data collection 24 hours. Results 77 consecutive successful (86.5% success rate) completed study. 55 (71.4%) had pH studies. 10.4% these reported no or LPR, indicating occult disease. Conclusion Success rates placement, tolerability, morbidity, complications are excellent. Wireless esophageal monitoring is safe effective diagnosing

参考文章(21)
Peter C. Belafsky, James A. Koufman, Gregory N. Postma, Jonathan E. Aviv, Laryngopharyngeal reflux testing. Ear, nose, & throat journal. ,vol. 81, pp. 14- 18 ,(2002)
Ronnie Fass, Richard Hell, Richard E Sampliner, Gloria Pulliam, Ellen Graver, Vernon Hartz, Cynthia Johnson, Philip Jaffe, Effect of ambulatory 24-hour esophageal pH monitoring on reflux-provoking activities. Digestive Diseases and Sciences. ,vol. 44, pp. 2263- 2269 ,(1999) , 10.1023/A:1026608804938
P.J. Kahrilas, W.J. Dodds, J. Dent, J.B. Wyman, W.J. Hogan, R.C. Arndorfer, Upper esophageal sphincter function during belching Gastroenterology. ,vol. 91, pp. 133- 140 ,(1986) , 10.1016/0016-5085(86)90449-X
David T. Book, John S. Rhee, Robert J. Toohill, Timothy L. Smith, PERSPECTIVES IN LARYNGOPHARYNGEAL REFLUX: AN INTERNATIONAL SURVEY Laryngoscope. ,vol. 112, pp. 1399- 1406 ,(2002) , 10.1097/00005537-200208000-00014
James A. Koufman, Jonathan E. Aviv, Roy R. Casiano, Gary Y. Shaw, Laryngopharyngeal reflux: position statement of the committee on speech, voice, and swallowing disorders of the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngology-Head and Neck Surgery. ,vol. 127, pp. 32- 35 ,(2002) , 10.1067/MHN.2002.125760
Marcella Bothwell, Jeff Phillips, Susan Bauer, Upper esophageal pH monitoring of children with the Bravo pH capsule. Laryngoscope. ,vol. 114, pp. 786- 788 ,(2004) , 10.1097/00005537-200404000-00039
W.-M. Wong, J. Bautista, R. Dekel, I. B. Malagon, I. Tuchinsky, C. Green, R. Dickman, R. Esquivel, R. Fass, Feasibility and tolerability of transnasal/per-oral placement of the wireless pH capsule vs. traditional 24-h oesophageal pH monitoring--a randomized trial. Alimentary Pharmacology & Therapeutics. ,vol. 21, pp. 155- 163 ,(2005) , 10.1111/J.1365-2036.2005.02313.X
Peter C Belafsky, Gregory N Postma, James A Koufman, Validity and Reliability of the Reflux Symptom Index (RSI) Journal of Voice. ,vol. 16, pp. 274- 277 ,(2002) , 10.1016/S0892-1997(02)00097-8
Rohan B.H. Williams, Galib N. Ali, Karen L. Wallace, Jeremy S. Wilson, David J. de Carle, Ian J. Cook, Esophagopharyngeal acid regurgitation: Dual pH monitoring criteria for its detection and insights into mechanisms Gastroenterology. ,vol. 117, pp. 1051- 1061 ,(1999) , 10.1016/S0016-5085(99)70389-6
John E. Pandolfino, Joel E. Richter, Tina Ours, Jason M. Guardino, Jennifer Chapman, Peter J. Kahrilas, Ambulatory esophageal pH monitoring using a wireless system. The American Journal of Gastroenterology. ,vol. 98, pp. 740- 749 ,(2003) , 10.1111/J.1572-0241.2003.07398.X