TY - JOUR
T1 - How to Approach Laryngopharyngeal Reflux
T2 - An Otolaryngology Perspective
AU - Dhillon, Vaninder K.
AU - Akst, Lee M.
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - In the otolaryngology practice, there is a rising concern with the current diagnosis and management of laryngopharyngeal reflux (LPR). The implication of LPR in many common head and neck symptoms, along with the rising cost of empiric therapy and no overall improvement in patient symptoms, has established a need to review what are indeed laryngopharyngeal complaints secondary to reflux and what are not. This article reviews the otolaryngologist’s approach to LPR, the various ways diagnosis is made, and the guidelines that inform the current trends in otolaryngology management of LPR. The goal of this article is to recognize that reflux can be the cause of a variety of laryngopharyngeal complaints seen within an otolaryngology practice, but when empiric therapy does not improve symptoms, consideration should be given to other non-reflux causes.
AB - In the otolaryngology practice, there is a rising concern with the current diagnosis and management of laryngopharyngeal reflux (LPR). The implication of LPR in many common head and neck symptoms, along with the rising cost of empiric therapy and no overall improvement in patient symptoms, has established a need to review what are indeed laryngopharyngeal complaints secondary to reflux and what are not. This article reviews the otolaryngologist’s approach to LPR, the various ways diagnosis is made, and the guidelines that inform the current trends in otolaryngology management of LPR. The goal of this article is to recognize that reflux can be the cause of a variety of laryngopharyngeal complaints seen within an otolaryngology practice, but when empiric therapy does not improve symptoms, consideration should be given to other non-reflux causes.
KW - Empiric treatment
KW - Laryngopharyngeal reflux (LPR)
KW - Laryngoscopy
KW - Pepsin
KW - Proton pump inhibitor
KW - pH probe
UR - http://www.scopus.com/inward/record.url?scp=84978766394&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84978766394&partnerID=8YFLogxK
U2 - 10.1007/s11894-016-0515-z
DO - 10.1007/s11894-016-0515-z
M3 - Review article
C2 - 27417389
AN - SCOPUS:84978766394
SN - 1522-8037
VL - 18
JO - Current gastroenterology reports
JF - Current gastroenterology reports
IS - 8
M1 - 44
ER -