Otorhinolaryngologie Alterations in Patients with Gastro-Esophageal Reflux Diseases
Science Journal of Clinical Medicine
Volume 3, Issue 2, March 2014, Pages: 29-32
Received: Mar. 26, 2014; Accepted: Apr. 22, 2014; Published: Apr. 30, 2014
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Author
Mariana Penkova Radicheva, Clinic of Internal Diseases, University Hospital Stara Zagora, Trakia University, Stara Zagora, Bulgaria
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Abstract
Introduction: The gastroesophageal reflux disease (GERD) is defined as a chronic affection resulting from the reflux of part of the gastric content (and sometimes, gastroduodenal) to the esophagus and/or adjacent organs (pharynx, larynx, bronchia), causing a variable spectrum of esophageal and/or extra-esophageal signs and symptoms associated or not to tissue lesions. Object: To determine the prevalence of ORL’ disorders in patients with gastro-esophageal reflux disease (GERD). Nowadays the number of patients with such complaints increases, which could be a result of higher acidity, inappropriate eating and lifestyle. Material and Methods: We carried out a retrospective study by approaching records of 54 patients attended in a period of 18 months. For all patients were made: standard ORL’ examination; examinations of gastro-digestive tract: upper endoscopy (Patients with erosive esophagitis were classified according to the criteria of Los Angeles), X- Ray of esophagus and stomach; Ph test; The results were evaluated in the SPSS program, version 10.0, and we carried out frequencies evaluation, central tendency and standard deviation measurements and association test (chi-square). Results: Patients with typical symptoms of gastroesophageal reflux disease accounted for 48 (88%) .Twenty seven had changes consistent with class A (50%), class B with 17 (31.5%) and 10 with classes C + D (18.5%). The presence of laryngeal changes were more prevalent in more severe esophagitis (grades C and D Los Angeles) when compared to milder forms (classes A and B), a statistically significant difference (p<0.05). Conclusion: As a first level of gastro-digestive tract, the oral cavity can attack with hirer PH of stomach’ contents. Following these circumstances they are possible changes and lesions in the mucosa of oral cavity and the pharynx wall, the tongue root and teeth. The laryngeal disorders are frequent findings in patients with GERD, more frequent the greater the degree of esophageal injury.
Keywords
Gastro-Esophageal Reflux Diseases (GERD), GERD Symptoms, Chronic Laryngitis, Oral Cavity, Gastroduodenal Reflux
To cite this article
Mariana Penkova Radicheva, Otorhinolaryngologie Alterations in Patients with Gastro-Esophageal Reflux Diseases, Science Journal of Clinical Medicine. Vol. 3, No. 2, 2014, pp. 29-32. doi: 10.11648/j.sjcm.20140302.14
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