Müderris, Togay Ankara Atatürk Eğitim ve Araştırma Hastanesi - Kulak Burun Boğaz Kliniği, Turkey , Berçin, Sami Ankara Atatürk Eğitim ve Araştırma Hastanesi - Kulak Burun Boğaz Kliniği, Turkey , Kırış, Muzaffer Ankara Atatürk Eğitim ve Araştırma Hastanesi - Kulak Burun Boğaz Kliniği, Turkey , Yazıcı, Alper Ankara Atatürk Eğitim ve Araştırma Hastanesi - Kulak Burun Boğaz Kliniği, Turkey

Frequency of laryngeal symptoms and findings in patients with lower esophageal sphincter incompetency

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Aim. The aim of this study is to determine the frequency of laryngeal symptoms and findings in patients that have lower esophageal sphincter (LES) incompetency and esophagitis. Methods. We included 51 patients that have undergone esophagogastroscopy in the Department of Gastroenterology, Ataturk Education and Research Hospital and diagnosed as lower esophageal sphincter (LES) incompetency and esophagitis after pathologic analysis. Symptoms that suggest laryngopharyngeal reflux like hoarseness, sore throat, chronic throat clearing, chronic cough, sensation of sticking in throat, globus and dysphagia and laryngeal findings were evaluated. Results. Of 51 patients, 23 (45.1%) had hoarseness, 34 (66.7%) had chronic throat clearing, 24 (47%) had sore throat, 22 (43.1%) had sensation of sticking, 16 (31,4%) had globus and 13 (25.4%) had dysphagia. In laryngoscopic evaluation, 24 (47%) had hyperemia of vocal folds, 11 (21.5%) had edema of vocal folds, 26 (50.9%) had hyperemia of arytenoids, 5 (9.8%) had nodule on vocal folds and 12 (23.5%) had pachydermia. Conclusions. Laryngeal symptoms and findings are very common among patients with LES incompetency and esophagitis. It must be kept in mind that reflux might be the underlying pathology in patients referred with laryngeal symptoms.

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Lower esophageal sphincter , laryngopharyngeal reflux , gastroesophageal reflux , hoarseness

Cumhuriyet Medical Journal

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