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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/5024
Title: Evaluarea manifestărilor laringiene în boala de reflux gastroesofagian
Other Titles: Evaluation of laryngeal manifestations in gastroesophageal reflux disease
Authors: Cabac, Vasile
Scutelnic, Lilia
Istratenco, Ala
Issue Date: 2012
Publisher: CEP Medicina
Citation: CABAC, Vasile, SCUTELNIC, Lilia, ISTRATENCO, Ala. Evaluarea manifestărilor laringiene în boala de reflux gastroesofagian. In: Anale Ştiințifice ale USMF “Nicolae Testemiţanu”. Ed. a 13-a. Chișinău: CEP Medicina, 2012, vol. 4: Probleme clinico-chirurgicale, pp. 272-276
Abstract: Gastroesophageal reflux disease can be associated with laryngeal symptoms resulting from abnormal exposure of tissues to acid refluxate. The complications of reflux are chronic cough, chronic or recurrent laryngitis, and might be a risk factor for the development of some laryngeal carcinomas. Laryngopharyngeal reflux certainly interferes with laryngomalacia, vocal cord granulomas and laryngotracheal stenosis. Diagnosis is based on physical examination, medical history, and results of tests. At present, the test of choice for laryngopharyngeal reflux diagnosis is intraluminal esophageal pH monitoring which is necessary when esophageal symptoms of gastroesophageal reflux disease are missing. Treatment for laryngopharyngeal reflux includes changes to the diet and lifestyle, and acid-suppressing therapy. The treatment is difficult because a twice-daily dosing with a proton pump inhibitor is often necessary and should be continued after 4 weeks. Refluxul gastro-esofagian este adesea responsabil de o simptomatologie laringiană în raport cu un reflux gastric acid pe mucoasă. Refluxul acid poate sta la baza unei tuse cornice, unei laringite cronice sau recidivante, şi un factor predispozant a unui cancer de laringe. Acest reflux adesea manifestă o acţiune de agravare a laringomalaciei, nodulilor vocali şi stenozelor laringo-traheale. Diagnosticul se bazează pe examenul clinic, anamneză şi examenele suplimentare. pH-metria esofagiană este examenul principal în diagnosticul unei simptomatologii esofagiene sau extraesofagiene cauzate de refluxul gastroesofagian. Tratamentul este bazat pe recomandaţiile igieno-dietetice şi tratamentul anti-acid. Tratamentul manifestărilor laringiene ale refluxului gastro-esofagian este dificil, deoarece sunt necesare adesea doze duble de inhibitori ai pompei protonice pe o perioadă îndelungată de timp.
URI: http://repository.usmf.md/handle/20.500.12710/5024
Appears in Collections:ORL

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