Impact of fundoplication for gastroesophageal reflux in the outcome of benign tracheal stenosis

Bianchi, E; Cardoso, Paulo Francisco Guerreiro; Minamoto, Hélio; Bibas, Benoit Jacques; Salati, Michele; Pêgo‐Fernandes, Paulo Manuel; Cecconello, Ivan; Nasi, Ary; Sallum, Rubens Antônio Aissar

doi:10.1016/j.jtcvs.2019.07.111

Cited by 18 publications

(43 citation statements)

References 32 publications

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“…Among these articles, 31 met our inclusion criteria and were kept for analysis ( Figure 1 ): 8 related to VF granuloma ( Table 1 ), 20-27 4 to laryngeal infections ( Table 1 ), 28-31 5 to leukoplakia ( Table 2 ), 7,32-35 and 10 to laryngotracheal stenosis ( Table 3 ). 36-45 Four additional basic research studies were identified concerning the relationship between reflux and the development of laryngotracheal stenosis. 6,46-48 Table 4 summarizes the main findings of the included studies.…”

Section: Resultsmentioning

confidence: 99%

Involvement of Laryngopharyngeal Reflux in Select Nonfunctional Laryngeal Diseases: A Systematic Review

Lechien¹,

Akst

Saussez

et al. 2020

Otolaryngol.--head neck surg.

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Objectives To investigate the existing published evidence supporting the role of laryngopharyngeal reflux (LPR) in the development of the select nonfunctional laryngeal diseases of laryngotracheal stenosis, granuloma, leukoplakia, and laryngeal infections Data Sources PubMed, Cochrane Library, and Scopus. Review Methods A systematic review was performed by 3 independent investigators for studies providing information about the prevalence and role of LPR in the development of laryngotracheal stenosis, granuloma, leukoplakia, and laryngeal infections. Diagnostic criteria and clinical outcome evaluation of included studies were analyzed with PRISMA criteria. Results Of the 64 relevant publications, 27 clinical and 4 basic science studies were included. Ten studies used objective reliable examinations for LPR diagnosis (eg, dual- or triple-probe or oropharyngeal pH monitoring, multichannel intraluminal impedance–pH monitoring, or pepsin detection). According to the bias analysis and the results of studies, the association between LPR and laryngotracheal stenosis, leukoplakia, laryngeal papillomatosis, or vocal fold granuloma remains poorly demonstrated. There is a notable heterogeneity among included studies regarding their inclusion criteria, diagnostic methods, and clinical outcome evaluation. Although some experimental findings support the involvement of bile salts and other gastroduodenal proteins active in alkaline pH, no included clinical studies assessed the role of nonacid and mixed reflux through multichannel intraluminal impedance–pH monitoring. Conclusion The involvement of LPR in the development of leukoplakia, laryngotracheal stenosis, vocal fold granuloma, and laryngeal papillomatosis is currently not demonstrated. The potential relationship between LPR and these select nonfunctional laryngeal diseases must be confirmed through future clinical and experimental studies considering acid, nonacid, and mixed LPR.

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Section: Resultsmentioning

confidence: 99%

Involvement of Laryngopharyngeal Reflux in Select Nonfunctional Laryngeal Diseases: A Systematic Review

Lechien¹,

Akst

Saussez

et al. 2020

Otolaryngol.--head neck surg.

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“…Airway stenosis is one of the most common diseases in pneumonology, caused by pathological changes of the airway wall following various etiological factors. Its main clinical symptoms include dyspnea, decreased activity endurance, accompanied with dry inspiratory rales, which can lead to suffocation and death in severe cases, seriously affecting the quality of life of patients [ 10 , 11 ]. In clinical practice, the diagnosis is determined by chest CT or tracheoscopy combined with medical history and symptoms.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety Profile of Montgomery T-Tube Implantation in Patients with Tracheal Stenosis

Yao

Chen

et al. 2020

Canadian Respiratory Journal

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Background. Tracheal stenosis is able to lead to airway obstruction. Objective. To evaluate the efficacy and safety profile of Montgomery T-tube implantation in patients with tracheal stenosis. Methods. Fifty-two patients with tracheal stenosis diagnosed between 2016 and 2019 were included in this retrospective cohort study. The patients were divided into observation group (n = 25 cases) and control group (n = 27). The therapeutic effect, arterial blood gas analysis, arterial oxygen partial pressure (PaO2), arterial carbon dioxide partial pressure (PaCO2), shortness of breath score, airway diameter change, dyspnea score, quality of life, and safety were compared between the two groups before and after treatment. Results. The therapeutic effect of the observation group gained better results than that of the control group (84.00% vs. 62.96%). One week after operation, the pH value, SaO2, PaCO2, shortness of breath score, airway diameter change, dyspnea score, life quality, and incidence of postoperative complications in the observation group exerted better results as compared to the control group. Conclusion. The implantation of Montgomery T-tube has effective function in terms of improving the symptoms of dyspnea and the life quality of patients with safety profile in patients harboring tracheal stenosis.

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“…The results from Bianchi and colleagues 7 are exciting and might lead to more widespread testing for reflux in patients with acquired laryngotracheal stenosis. However, the interpretation of the results merits some caution.…”

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confidence: 99%

“…6 In the current issue of The Journal of Thoracic and Cardiovascular Surgery, Bianchi and colleagues describe their experience with patients with complex laryngotracheal stenosis and GERD. 7 There were 124 eligible patients for the study, most with postintubation stenosis. An abnormal pH study was found in 52 patients.…”

mentioning

confidence: 99%

“…LPR is better detected with impedance testing, and often patients with pulmonary symptoms will have a normal De-Meester score in conventional testing but clear LPR on impedance testing and still benefit from an antireflux procedure. 8 It is possible that more patients in the study by Bianchi and collagues 7 had LPR and might have benefited from fundoplication. The authors were also quite conservative in indicating fundoplication.…”

mentioning

confidence: 99%

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Commentary: The role of gastroesophageal reflux in patients with acquired tracheal stenosis

Weksler

2019

The Journal of Thoracic and Cardiovascular Surgery

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Impact of fundoplication for gastroesophageal reflux in the outcome of benign tracheal stenosis

Cited by 18 publications

References 32 publications

Involvement of Laryngopharyngeal Reflux in Select Nonfunctional Laryngeal Diseases: A Systematic Review

Involvement of Laryngopharyngeal Reflux in Select Nonfunctional Laryngeal Diseases: A Systematic Review

Efficacy and Safety Profile of Montgomery T-Tube Implantation in Patients with Tracheal Stenosis

Commentary: The role of gastroesophageal reflux in patients with acquired tracheal stenosis

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