Extraesophageal manifestations of gastroesophageal reflux disease: cough, asthma, laryngitis, chest pain

Gastroesophageal reflux is a common condition affecting many patients in different parts of the world. It usually presents with the classic manifestations of heartburn and regurgitation; however, in some it can also present with extraesophageal manifestations such as chronic cough, laryngitis,...

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Main Authors: Elif Saritas Yuksel, Michael Vaezi
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2012-03-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1450
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author Elif Saritas Yuksel
Michael Vaezi
author_facet Elif Saritas Yuksel
Michael Vaezi
author_sort Elif Saritas Yuksel
collection DOAJ
description Gastroesophageal reflux is a common condition affecting many patients in different parts of the world. It usually presents with the classic manifestations of heartburn and regurgitation; however, in some it can also present with extraesophageal manifestations such as chronic cough, laryngitis, asthma or chest pain. Commonly employed diagnostic tests such as esophagogastroduodenoscopy and ambulatory pH or impedance monitoring in gastroesophageal reflux, are less useful in extraesophageal syndromes due to their poor sensitivity and specificity. In contrast, empiric trials of PPI’s are shown to be cost effective; however, patients may require long-term treatment to establish effectiveness. Diagnostic testing with pH and impedance monitoring are commonly reserved for patients with partial or poor response to the initial treatment with PPI’s. Poor response to PPI therapy may be an important indicator for non-gastroesophageal reflux causes for patients’ symptoms and should initiate a search for other potential causes.
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spelling doaj.art-4c39255374264107a71acb1e370b09be2022-12-22T03:04:01ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972012-03-01142111210.4414/smw.2012.13544Extraesophageal manifestations of gastroesophageal reflux disease: cough, asthma, laryngitis, chest painElif Saritas YukselMichael Vaezi Gastroesophageal reflux is a common condition affecting many patients in different parts of the world. It usually presents with the classic manifestations of heartburn and regurgitation; however, in some it can also present with extraesophageal manifestations such as chronic cough, laryngitis, asthma or chest pain. Commonly employed diagnostic tests such as esophagogastroduodenoscopy and ambulatory pH or impedance monitoring in gastroesophageal reflux, are less useful in extraesophageal syndromes due to their poor sensitivity and specificity. In contrast, empiric trials of PPI’s are shown to be cost effective; however, patients may require long-term treatment to establish effectiveness. Diagnostic testing with pH and impedance monitoring are commonly reserved for patients with partial or poor response to the initial treatment with PPI’s. Poor response to PPI therapy may be an important indicator for non-gastroesophageal reflux causes for patients’ symptoms and should initiate a search for other potential causes. https://www.smw.ch/index.php/smw/article/view/1450AsthmaChronic coughchronic laryngitisextraesophageal reflux syndromeReflux
spellingShingle Elif Saritas Yuksel
Michael Vaezi
Extraesophageal manifestations of gastroesophageal reflux disease: cough, asthma, laryngitis, chest pain
Swiss Medical Weekly
Asthma
Chronic cough
chronic laryngitis
extraesophageal reflux syndrome
Reflux
title Extraesophageal manifestations of gastroesophageal reflux disease: cough, asthma, laryngitis, chest pain
title_full Extraesophageal manifestations of gastroesophageal reflux disease: cough, asthma, laryngitis, chest pain
title_fullStr Extraesophageal manifestations of gastroesophageal reflux disease: cough, asthma, laryngitis, chest pain
title_full_unstemmed Extraesophageal manifestations of gastroesophageal reflux disease: cough, asthma, laryngitis, chest pain
title_short Extraesophageal manifestations of gastroesophageal reflux disease: cough, asthma, laryngitis, chest pain
title_sort extraesophageal manifestations of gastroesophageal reflux disease cough asthma laryngitis chest pain
topic Asthma
Chronic cough
chronic laryngitis
extraesophageal reflux syndrome
Reflux
url https://www.smw.ch/index.php/smw/article/view/1450
work_keys_str_mv AT elifsaritasyuksel extraesophagealmanifestationsofgastroesophagealrefluxdiseasecoughasthmalaryngitischestpain
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