The link between airway reflux and non-acid reflux in children: a review

Objective: Airway reflux, a member of extra-esophageal reflux, has been linked to countless respiratory pathologies amongst children. The advent of novel instrumentation has enabled the discovery of non-acid reflux which was postulated as the main culprit of airway reflux. The objective of this revi...

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Main Authors: Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869422000738
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author Jeyasakthy Saniasiaya
Jeyanthi Kulasegarah
author_facet Jeyasakthy Saniasiaya
Jeyanthi Kulasegarah
author_sort Jeyasakthy Saniasiaya
collection DOAJ
description Objective: Airway reflux, a member of extra-esophageal reflux, has been linked to countless respiratory pathologies amongst children. The advent of novel instrumentation has enabled the discovery of non-acid reflux which was postulated as the main culprit of airway reflux. The objective of this review is to outline the association between non-acid reflux and airway reflux in children. Methods: A comprehensive review of recent literature on non-acid reflux and airway reflux in children was conducted. Studies ranged from January 2010 till November 2021 were searched over a period of a month: December 2021. Results: A total of eleven studies were identified. All studies included in this review revealed a strong link between non-acid reflux and airway reflux in children. 6 of the included studies are prospective studies, 3 retrospective studies, 1 cross-section study, and type of study was not mentioned in 1 study. The most common reported respiratory manifestation of non-acid reflux in children was chronic cough (7 studies). Predominant non-acid reflux was noted in 4 studies. The total number of children in each study ranges from 21 to 150 patients. MII-pH study was carried out in all studies included as a diagnostic tool for reflux investigation. Conclusion: Non-acid reflux is the culprit behind airway reflux as well as other myriads of extra-esophageal manifestations in children. Multicentre international studies with a standardized protocol could improve scientific knowledge in managing non-acid reflux in airway reflux amongst children.
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spelling doaj.art-9e62f603ec694ce28e06d4987ffcf3fc2023-03-28T06:45:31ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942023-03-01892329338The link between airway reflux and non-acid reflux in children: a reviewJeyasakthy Saniasiaya0Jeyanthi Kulasegarah1Corresponding author.; University of Malaya, Faculty of Medicine, Department of Otorhinolaryngology, Wilayah Persekutuan Kuala Lumpur, MalaysiaUniversity of Malaya, Faculty of Medicine, Department of Otorhinolaryngology, Wilayah Persekutuan Kuala Lumpur, MalaysiaObjective: Airway reflux, a member of extra-esophageal reflux, has been linked to countless respiratory pathologies amongst children. The advent of novel instrumentation has enabled the discovery of non-acid reflux which was postulated as the main culprit of airway reflux. The objective of this review is to outline the association between non-acid reflux and airway reflux in children. Methods: A comprehensive review of recent literature on non-acid reflux and airway reflux in children was conducted. Studies ranged from January 2010 till November 2021 were searched over a period of a month: December 2021. Results: A total of eleven studies were identified. All studies included in this review revealed a strong link between non-acid reflux and airway reflux in children. 6 of the included studies are prospective studies, 3 retrospective studies, 1 cross-section study, and type of study was not mentioned in 1 study. The most common reported respiratory manifestation of non-acid reflux in children was chronic cough (7 studies). Predominant non-acid reflux was noted in 4 studies. The total number of children in each study ranges from 21 to 150 patients. MII-pH study was carried out in all studies included as a diagnostic tool for reflux investigation. Conclusion: Non-acid reflux is the culprit behind airway reflux as well as other myriads of extra-esophageal manifestations in children. Multicentre international studies with a standardized protocol could improve scientific knowledge in managing non-acid reflux in airway reflux amongst children.http://www.sciencedirect.com/science/article/pii/S1808869422000738Gastroesophageal refluxLaryngopharyngeal refluxAirway refluxNon-acid refluxChildren
spellingShingle Jeyasakthy Saniasiaya
Jeyanthi Kulasegarah
The link between airway reflux and non-acid reflux in children: a review
Brazilian Journal of Otorhinolaryngology
Gastroesophageal reflux
Laryngopharyngeal reflux
Airway reflux
Non-acid reflux
Children
title The link between airway reflux and non-acid reflux in children: a review
title_full The link between airway reflux and non-acid reflux in children: a review
title_fullStr The link between airway reflux and non-acid reflux in children: a review
title_full_unstemmed The link between airway reflux and non-acid reflux in children: a review
title_short The link between airway reflux and non-acid reflux in children: a review
title_sort link between airway reflux and non acid reflux in children a review
topic Gastroesophageal reflux
Laryngopharyngeal reflux
Airway reflux
Non-acid reflux
Children
url http://www.sciencedirect.com/science/article/pii/S1808869422000738
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