Changing Impact of Gastroesophageal Reflux in Medical and Otolaryngology Practice

Abstract

During the 1990s, there was a substantial increase in the use of ambulatory care services for GERD. Although much of this increase was among the primary care community, otolaryngologists appeared to have an increasingly prominent role in the management of this disease. There have also been dramatic changes in physician prescribing patterns for GERD, with the emergence of the predominant role of proton pump inhibitors. However, the use of physician counseling for lifestyle modification of factors known to affect GERD remains very low. The increasing impact of GERD on physician practice emphasizes the importance of both physician and patient education in the delivery of health care related to this disease.

Prospective, observational study using rabeprazole in 455 patients with laryngopharyngeal reflux disease

“…The term ''laryngopharyngeal reflux disease (LPRD)'' is generally accepted by otolaryngologists who diagnose LPRD with reference to clinical symptoms and signs rather than by use of specific diagnostic methods. Recently, the number of patients presenting with LPR-related manifestations has increased [2]. However, no diagnostic test accurately defines this disease entity.…”

The Burden of Gastrointestinal and Liver Disease Around the World

“…Prevalence in Western countries has been estimated at 10-20 %, using criteria of at least weekly heartburn and/or acid regurgitation [24]. According to a review using the US National Ambulatory Medical Care Survey (NAMCS), the rate of US ambulatory care visits for GERD increased from 1.7 per 100 persons to 4.7 per 100 persons from 1990-1993 to 1998-2001 and continues to be a frequent cause of consultation in primary care [25].…”

Laryngopharyngealer Reflux und kehlkopfassoziierte Beschwerden

“…Insgesamt hat die (Verdachts-)Diagnose GERD/LPR in den letzten Jahren deutlich zugenommen, sodass jetzt sogar geschätzt wird, dass etwa 10% der Patienten, die eine HNO-ärztliche Praxis aufsuchen, refluxassoziierte Beschwerden haben [14]. Möglicherweise haben die Hälfte der LPRPatienten nicht die klassischen GERD-Beschwerden wie retrosternale Schmerzen, Regurgitation und Aufstoßen.…”