Screening of laryngopharyngeal reflux disease in patients with gastroesophageal reflux disease symptoms in Hospital Universiti Sains
Laryngopharyngeal reflux (LPR) has been recognized as an extraesophageal manifestation of gastro esophageal reflux disease (GERD). However, many questions still exist as how to diagnose this disease accurately and to identify patients with silent reflux. This study was conducted to determine the...
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Format: | Thesis |
Language: | English |
Published: |
2013
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Subjects: | |
Online Access: | http://eprints.usm.my/60775/1/DR%20HEMA%20APPARAU%20-%20e.pdf |
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Summary: | Laryngopharyngeal reflux (LPR) has been recognized as an
extraesophageal manifestation of gastro esophageal reflux disease (GERD).
However, many questions still exist as how to diagnose this disease accurately and to
identify patients with silent reflux. This study was conducted to determine the prevalence of LPR in patients
with GERD symptoms in Hospital Universiti Sains Malaysia, Kubang Kerian. This is a cross sectional study involving 115 patients
presenting to Gastroenterology clinic and Outpatient clinic in HUSM from December
2011 to June 2012. Participants were required to answer the Symptomatic GERD
questionnaire and Reflux Symptom Index questionnaire. This was followed by
laryngeal examination and documentation of Reflux Finding Score. The prevalence of LPR in patients with symptomatic GERD was 33.04%.
The commonest symptom in RSI was ‘heartbum, chest pain, indigestion or stomach
acid coming up’. The most commonest sign seen in RFS is ‘erythema’. There was
significant correlation between RSI and RFS. LPR is present in patients with symptoms of GERD. RSI and RFS play
an important role to identify patients with LPR and aid the clinician to deliver the
appropriate treatment to them. |
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