Laryngologiczny obraz refluksu krtaniowo-gardłowego – doświadczenia własne w diagnozowaniu i leczeniu

Introduction For many years the specialists, have been interested in gastroesophageal reflux. The aim of the work is to present our experience in the diagnosis and the treatment of laryngopharyngeal reflux. Material and methods We studied 60 patients (35 women and 25 men) aged 25 to 60 (average age – 43), with symptoms of reflux, hospitalized in ENT Department in the years 2010–2011. In all patients in ENT examination laryngitis were stated. Each patient was treated with 24-hour esophageal pH-impedance during gastrological consultation. In case of confirmed reflux disease proper diet and medication blocking the proton pomp were prescribed for a period of 3 months. The check-up included: patient interview, filling the questionnaire, ENT examination and gastrological consultation. The treatment was continued for the next 3 months with patients with sustaining problems of upper airway. Results Laryngopharyngeal reflux disease was confirmed in all examined patients. After 3 months over 80% patients finished the treatment, the other (13) patients finished their treatment after 6 months. Conclusions ENT and gastrological consultations with 24-hour esophageal pH-impedance help with successful diagnosis and curing the reflux disease.