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首页> 外文期刊>Clinical otolaryngology: official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery >Transnasal oesophagoscopy, laryngopharyngeal reflux (LPR) and oesophageal pathology: the vocal fold granuloma example and 'the granulomas, LPR and Barrett's triad'.
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Transnasal oesophagoscopy, laryngopharyngeal reflux (LPR) and oesophageal pathology: the vocal fold granuloma example and 'the granulomas, LPR and Barrett's triad'.

机译:经鼻食管镜检查,喉咽反流(LPR)和食管病理学:声带肉芽肿示例和“肉芽肿,LPR和Barrett三联症”。

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摘要

The prevalence of oesophageal pathology in patients with Laryngopharyngeal reflux(LPR) has been a matter of debate in the literature. Koufman et al. reported only a 7% prevalence of Barrett's oesophagus in patients with LPR, suggesting that oesophagoscopy is not necessary in patients with mild LPR. Perry et al. showed that the prevalence of Barrett's oesophagus is 15.6% in patients with pure LPR, and Issing et al. in a retrospective study suggested that oesophagogastroduodenoscopy(OGD) is indicated in at least those patients with LPR reporting heartburn as their main complaint. Some isolated reflux-related symptoms, such as chronic cough, have been direcdy linked though to Barrett's and those experienced in Transnasal Oesophagoscopy(TNO) suggest that chronic cough patients seem to be at a higher risk for Barrett's metaplasia, even in the absence of heartburn.
机译:喉咽反流(LPR)患者的食管病理学患病率一直是文献争论的焦点。 Koufman等。文献报道LPR患者中Barrett食管的患病率仅为7%,这表明轻度LPR患者无需食道镜检查。佩里等。结果表明,纯LPR患者的Barrett食管患病率为15.6%,Issing等人。一项回顾性研究表明,至少在那些以胃灼热为主要症状的LPR患者中建议使用食管胃十二指肠镜检查(OGD)。尽管与Barrett病有一些孤立的与反流有关的症状,例如慢性咳嗽,但与经鼻食管镜检查(TNO)的经验表明,即使在没有烧心的情况下,慢性咳嗽患者似乎也有较高的Barrett化生风险。 。

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