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Arquivos Internacionais de Otorrinolaringologia 2010; 14(02): 180-183
DOI: 10.7162/S1809-48722010000200006
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Prevalence of Laryngeal Alterations in Patients with Erosive Esophagitis

Prevalência de Alterações Laríngeas em Portadores de Esofagite Erosiva
Marina Serrato Coelho
*   Resident in Otorhinolaryngology, HC-UFPR.
,
Evaldo Macedo
**   Doctor. Professor of Otolaryngology Department of the HC-UFPR.
,
Marcos Mocellin
***   Doctor. Head of the Department of Otorhinolaryngology, HC-UFPR.
,
Ricardo Guzela
****   Physician. Resident in the Department of Gastroenterology, HC-UFPR.
,
Odery Ramos Jr
*****   Master. Professor in the Department of Gastroenterology, HC-UFPR.
› Author Affiliations
Further Information

Publication History

27 January 2010

21 April 2010

Publication Date:
13 February 2014 (online)

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Summary

Introduction: The association between gastroesophageal reflux disease (GERD) and laryngeal disorders has been much debated in recent years. Recent studies suggest an association between laryngeal symptoms and pharyngeal symptoms extra-esophageal reflux, as atypical presentation of Gastroesophageal Reflux Disease.

Objectives: To correlate the presence of laryngeal to the grades of erosive esophagitis.

Methods: A prospective study. Patients with findings of esophagitis on endoscopy were categorized according to LosAngeles and submitted a questionnaire followed by laryngoscopy. The chi-square test was used for statistical analysis (p < 0.05).

Results: Patients with typical symptoms of gastroesophageal reflux disease accounted for 96.6%. Eighteen had changes consistent with class A (60%), class B with seven (7%) and 5 with classes C + D (16.6%). The presence of laryngeal changes were more prevalent in more severe esophagitis (grades C and D Los Angeles) when compared to milder forms (classes A and B), a statistically significant difference (p < 0.05).

Conclusion: The laryngeal disorders are frequent findings in patients with esophagitis, more frequent the greater the degree of esophageal injury.

Resumo

Introdução: A associação entre Doença do Refluxo Gastroesofágico (DRGE) e alterações laríngeas vem sendo muito debatida nos últimos anos. Estudos recentes sugerem associação entre sintomas laríngeos, sintomas faríngeos e refluxo extra-esofágico, como sendo apresentação atípica da Doença do Refluxo Gastroesofágico.

Objetivo: Correlacionar a presença de alterações laríngeas com os graus de esofagite erosiva.

Método: Estudo prospectivo. Os pacientes com achados de esofagite a endoscopia foram classificados de acordo com Los Angeles e submetidos a um questionário seguido de laringoscopia. O teste do qui-quadrado foi utilizado para análise estatística (p < 0,05).

Resultados: Os pacientes com sintomas típicos de refluxo gastroesofágico corresponderam a 96,6%. Dezoito possuíam alterações compatíveis com classe A(60%), 7 com classe B (7%) e 5 com classes C + D (16,6%). A presença de alterações laringoscópicas foi mais prevalente nas esofagites mais severas (classes C e D de Los Angeles) quando comparada aos graus mais leves (classes A e B), diferença estatisticamente significativa (p < 0,05).

Conclusão: As alterações laríngeas são achados frequentes nos pacientes com esofagite, sendo mais prevalentes quanto maior o grau da lesão esofágica.

Keywords

esophagitis - gastroesophageal reflux - laryngitis

Palavras-chave

esofagite - refluxo gastroesofágico - laringite
 

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