Prospective, observational study using rabeprazole in 455 patients with laryngopharyngeal reflux disease

作者: Yoon Se Lee , Seung-Ho Choi , Young Ik Son , Young-Hak Park , Sang Yoon Kim

DOI: 10.1007/S00405-010-1475-9

关键词:

摘要: The role of proton pump inhibitor in the treatment laryngopharygneal reflux disease (LPRD) has been advocated, but there few reports dealing with large population based on time-related efficacy rabeprazole. It was designed to assess rabeprazole and evaluate which symptoms or findings varied significantly as medication sustained. Multiorgan, open-label cohort, prospective observational study designed. We identified 1,142 patients LPRD, enrolled 455 patients, who participated fully this survey follow-up observation for 12 weeks. Reflux symptom index (RSI) finding score (RFS) were used therapeutic efficacy. These parameters evaluated at 4th, 8th, 12th weeks, respectively. Valid rate explain improved proportion after medication. most common a globus sense throat. Posterior commissure hypertrophy frequently encountered laryngoscopic finding. Female complained heartburn chest pain more than did male (P < 0.001), whereas showed ventricular obliteration erythematous changes female 0.001). By RSI evaluation, scores gradually declined. Each item every visit Total RFS decreased progressively weeks similar results seen when individually examined. falling by 50% increased continued. This trend seemed be significant Side effects therapy minimal. Despite some constraints an study, appeared improve LPRD signs. Prolonged least 3 months may beneficial patients. Long-term require further evaluation.

参考文章(29)
Michael F. Vaezi, Joel E. Richter, C Richard Stasney, Joseph R. Spiegel, Ralph A. Iannuzzi, Joseph A. Crawley, Clara Hwang, Mark B. Sostek, Reza Shaker, Treatment of chronic posterior laryngitis with esomeprazole. Laryngoscope. ,vol. 116, pp. 254- 260 ,(2006) , 10.1097/01.MLG.0000192173.00498.BA
Louis P. Leite, Brian T. Johnston, Donald O. Castell, Omeprazole for the treatment of posterior laryngitis The American Journal of Medicine. ,vol. 99, pp. 694- 695 ,(1995) , 10.1016/S0002-9343(99)80266-6
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
Mahmoud El-Sayed Ali, Laryngopharyngeal reflux: diagnosis and treatment of a controversial disease. Current Opinion in Allergy and Clinical Immunology. ,vol. 8, pp. 28- 33 ,(2008) , 10.1097/ACI.0B013E3282F3F44F
Seckin O. Ulualp, Sarah Rodriguez, Camysha N. Holmes-Wright, Flexible laryngoscopy-guided pharyngeal pH monitoring in infants. Laryngoscope. ,vol. 117, pp. 577- 580 ,(2007) , 10.1097/MLG.0B013E3180330081
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
P. D. Karkos, J. Benton, S. C. Leong, A. Karkanevatos, K. Badran, V. R. Srinivasan, R. H. Temple, W. J. Issing, Trends in laryngopharyngeal reflux: a British ENT survey European Archives of Oto-rhino-laryngology. ,vol. 264, pp. 513- 517 ,(2007) , 10.1007/S00405-006-0222-8
L. Papakonstantinou, P. Leslie, J. Gray, T. Chadwick, M. Hudson, J.A. Wilson, Laryngopharyngeal reflux: a prospective analysis of a 34 item symptom questionnaire. Clinical Otolaryngology. ,vol. 34, pp. 455- 459 ,(2009) , 10.1111/J.1749-4486.2009.01998.X
David W. Barry, Michael F. Vaezi, Laryngopharyngeal reflux: More questions than answers. Cleveland Clinic Journal of Medicine. ,vol. 77, pp. 327- 334 ,(2010) , 10.3949/CCJM.77A.09121