How effective is the control of laryngopharyngeal reflux symptoms by fundoplication? Symptom score analysis

Summary Background The diagnosis and management of laryngopharyngeal reflux (LPR) symptoms are made difficult by the lack of good standard tests for diagnosis and for assessment of responsiveness to medical therapy. Proximal esophageal 24‑h pH reading may help identify a group of patients likely to...

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Bibliographic Details
Published in:European surgery 2020-06, Vol.52 (3), p.123-126
Main Authors: Falk, Gregory L., Gooley, Suzanna C., Church, Neal G., Rangiah, David S.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cardiac Surgery
General Surgery
Medicine
Medicine & Public Health
Original Article
Surgery
Vascular Surgery
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Summary:Summary Background The diagnosis and management of laryngopharyngeal reflux (LPR) symptoms are made difficult by the lack of good standard tests for diagnosis and for assessment of responsiveness to medical therapy. Proximal esophageal 24‑h pH reading may help identify a group of patients likely to benefit from surgery. Methods A consecutive cohort of patients from a prospective populated database were identified. Further review was undertaken by an independent investigator for symptomatic evaluation following fundoplication 24 months after surgery. Results There were 90 patients (70% female) treated by fundoplication. The 24‑h pH study was successful in 68 patients; abnormal test results were found in 62 patients. Two clinical groups of patients were identified (GORD predominant/LPR predominant) with better control of LPR symptoms in the mixed GOR/LPR cohort but improved overall ( p  
ISSN:1682-8631
1682-4016
DOI:10.1007/s10353-020-00632-5