Refractory Cases in Laryngopharyngeal Reflux Disease (LPRD).

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  • 難治性Laryngopharyngeal Reflux Diseaseの検討
  • ナンジセイ Laryngopharyngeal Reflux Disease ノ ケントウ

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Abstract

Gastroesophageal reflux disease (GERD) which includes otorhinolaryngologic symptoms is called laryngopharyngeal reflux disease (LPRD). Recently, there are refractory cases of GERD and LPRD for which only a proton pump inhibitor (PPI) is effective. In Japan, it is reported that most refractory cases of GERD are aged females and negative cases of Helicobacter pylori (H. pylori).<br>Eight refractory cases of LPRD are reported. The male and female ratio was 1:1. The chief complaint was pharyngeal pain in 3 cases. Reflux esophagitis was found endoscopically in 4 cases and H. pylori was negative in all cases. Kyphorachitis was found in females and surgical treatment was performed in 1 case.<br>Refractory cases of LPRD were similar to those of GERD. In LPRD, refractory cases seen in aged females who respond only to PPI may require other modes of treatment.

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