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Titolo:
Chronic middle ear disease and gastroesophageal reflux disease: A causal relation?
Autore:
Poelmans, J; Tack, J; Feenstra, L;
Indirizzi:
Univ Hosp Leuven, Dept Otorhinolaryngol Head & Neck Surg, Louvain, BelgiumUniv Hosp Leuven Louvain Belgium gol Head & Neck Surg, Louvain, Belgium Univ Hosp Leuven, Dept Gastroenterol, Louvain, Belgium Univ Hosp Leuven Louvain Belgium , Dept Gastroenterol, Louvain, Belgium
Titolo Testata:
OTOLOGY & NEUROTOLOGY
fascicolo: 4, volume: 22, anno: 2001,
pagine: 447 - 450
SICI:
1531-7129(200107)22:4<447:CMEDAG>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
LARYNGITIS; ACID;
Keywords:
gastroesophageal reflux; gastropharyngeal reflux; chronic middle ear disease; extraesophageal manifestations;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Feenstra, L Univ Hosp Leuven, Dienst Neus Keel Oorziekten Gelaaten Halschirurg, Kapucijnenvoer 33, B-3000 Louvain, Belgium Univ Hosp Leuven Kapucijnenvoer 33 Louvain Belgium B-3000 ium
Citazione:
J. Poelmans et al., "Chronic middle ear disease and gastroesophageal reflux disease: A causal relation?", OTOL NEURO, 22(4), 2001, pp. 447-450

Abstract

Objective: To describe one patient with a puzzling therapy-resistant unilateral chronic otitis media, analyze his diagnosis, and describe three similar patients with the same symptoms and signs, i.e., a chronic ear problem together with gastroesophageal reflux disease (GERD). Study Design: Thorough analysis of one patient with a chronic ear problem and GERD, both of which responded favorably after antireflux therapy consisting of omeprazole and conservative antireflux measures (raising the head of the bed by 20 to 25 cm, avoiding meals and drinks 3 hours before retiring, and other dietary and lifestyle modifications), and a search for more patients with similar coexisting conditions. Setting: Tertiary referral center. Methods: Patients with chronic ear problems and GERD were thoroughly analyzed by the otorhinolaryngologist and the gastroenterologist. The latter used endoscopy and Savary-Miller's classification of esophagitis, a 24-hour ambulatory dual esophageal pH monitoring, and esophageal manometry. Results: Four patients were identified who had a chronic ear problem and simultaneous GERD. It is reasoned that the GERD leads to nasopharyngitis andthis to a chronic ear problem. All the patients responded favorably to anti-GERD therapy. Conclusions: GERD may manifest itself as an extraesophageal manifestation,such as nasopharyngitis, leading to ear disease. Therapy-resistant chronicmiddle ear disease may be caused by GERD.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/02/20 alle ore 11:38:16