The frequency and clinical aspects of extraesophageal syndromes in elderly patients with gastroesophageal reflux disease

Цуканов, В. В.; Каспаров, Э. В.; Онучина, Е. В.; Vasyutin, A. V.; Буторин, Н Н; Amelchugova, Olga S.; Tonkikh, Yu.L.

doi:10.17116/terarkh201688228-32

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…29,30 Clearing the throat, roughness, and coughing are voice symptoms often associated with esophageal disorders such as the passive return of gastric content to the esophagus, which can occur in any individual due to physiological or pathological circumstances (gastroesophageal reflux disease), but it is common in older adults. 31,32 Moreover, the self-reported throat clearing can be related to the sensation that causes the constant need to try and clear the throat when swallowing. 33 Some voice symptoms in older adults can also be associated with changes in the respiratory system.…”

Section: Discussionmentioning

confidence: 99%

Voice and Temporal Auditory Processing in Elderly People: A Correlation Study

Souza Santos,

Muniz,

Gomes

et al. 2024

Int Arch Otorhinolaryngol

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Introduction The voice and hearing can be affected to different degrees by aging, which can cause communication difficulties for elderly people. Vocal production requires effective temporal auditory processing at central levels within the nervous system, which can be compromised by the aging process. Objective To analyze the correlation between voice and temporal auditory processing in older adults. Materials and Methods A total of 40 elderly people aged 60 years or older were subdivided into 2 groups according to the presence or absence of vocal symptoms measured by the Voice Symptom Scale. All of the participants were submitted to auditory temporal tests, vocal self-assessment, and acoustic and perceptual auditory analyses of voice. Results Most of the subjects assessed had decreased voice intensity and normal variability in terms of vocal quality. The performance was normal in the Pitch Pattern Sequence test and altered in the Random Gap Detection test. In the Masking Period Pattern test, the detection thresholds for the target signal were increased in the presence of masking in different temporal target signal positions. Only pitch differed between the two groups. There were differences between the genders regarding frequency, shimmer, the overall severity of the alteration, and roughness. There was a correlation regarding temporal resolution ability and the overall severity of the alteration and roughness of the voice. Conclusion There is a central auditory impairment in temporal resolution which is correlated with vocal alterations in the elderly.

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Section: Discussionmentioning

confidence: 99%

Voice and Temporal Auditory Processing in Elderly People: A Correlation Study

Souza Santos,

Muniz,

Gomes

et al. 2024

Int Arch Otorhinolaryngol

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show abstract

“…According to the literature, one of the most referred to the elderly is the sensation of food stuck on the throat (10,24) , which can lead to the need to throat clearing to estases cleaning or laryngeal penetrations of food or liquids. The throat clearing can also be a result of esophageal changes such as gastro esophageal reflux, commonly found among elderly (30) . Compared to the young, the elderly have a higher pharyngeal transit time and transit time of opening of the cervical esophagus (3,4,11) .…”

Section: Discussionmentioning

confidence: 99%

Estudo da associação entre doenças crônicas naturais do envelhecimento e alterações da deglutição referidas por idosos da comunidade

Mourão

Xavier

Néri

et al. 2016

Audiol., Commun. Res.

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Association study between natural chronic diseases of aging and swallowing changes referred by community elderly Estudo da associação entre doenças crônicas naturais do envelhecimento e alterações da deglutição referidas por idosos da comunidade ABSTRACTPurpose: To investigate the association between self-reported swallowing changes with natural chronic diseases of aging, socioeconomic, demographic, nutrition and oral health aspects in the elderly community. Methods: We conducted a cross-sectional study, from a health survey of 900 elderly with 65 years or older, recruited at home, in the urban area of Campinas, São Paulo/Brazil, in the context of the "Frailty in Elderly Brazilians". All patients underwent sociodemographic and anthropometric measures, of cognitive screening, among others. The elderly with no signs suggestive of dementia was applied protocol with dichotomous questions (yes/no), based on self-reported chronic disease, depressive symptoms, oral health and swallowing changes. Associations and prevalence ratios were investigated by Cox regression and p-values <0.05 were considered significant. Results: The sample comprised 507 elderly with 72 (+/-5.2) years, on average, most women (62%). Natural chronic diseases of aging were most mentioned hypertension (62.1%) and arthritis / rheumatism (43.5%). Only 12.4% reported no chronic disease. Sensation of food stopped (16%) and gagging to feed or drinking liquid (14.4%) were the most mentioned swallowing changes. Dry mouth sensation, more diseases that are chronic, heart disease and osteoporosis were associated with swallowing changes. Increasing age was only related to the hoarseness after ingestion of a food. Conclusion: The co-occurrence of chronic diseases and the sensation of dry mouth were the most related to factors of swallowing changes. The age was associated only to report of throat clearing after feeding. Keywords

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Current management of proton pump inhibitor-refractory gastroesophageal reflux disease

Цуканов

Васютин

Тонких

2020

Fundamentalʹnaâ i kliničeskaâ medicina

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Here we review current concepts in diagnosis and treatment of proton pump inhibitor (PPI)-refractory gastroesophageal reflux disease (PPIGERD) which includes an insufficient response to daily PPI 8-week therapy in combination with pathological gastroesophageal reflux. Patients with PPI-GERD frequently suffer from non-acidic and asymptomatic gastroesophageal reflux. In developed countries, PPI-GERD accounts for 30-40% of all patients receiving PPIs. Diagnosis of PPIGERD is performed by means of clinical anamnesis, esophagogastroscopy and impedance-pH monitoring. PPI-GERD needs to be differentiated with functional heartburn, reflux hypersensitivity and nonerosive reflux disease. Functional heartburn is characterised by reference time with a esophageal pH < 4 and the absence of a link between reflux episodes and GERD symptoms. Reflux hypersensitivity is diagnosed with normal esophageal acid exposure and association of reflux episodes with symptoms of GERD. Nonerosive reflux disease can be diagnosed solely by evaluating pathological acid exposure (pH < 4 for > 6% of the time). Treatment of PPI-GERD includes diet and lifestyle modification to reduce weight in obese patients, optimization of PPI use, and administration of alginate, prokinetics, baclofen and other drugs. Surgical treatment is also widely used and provide good results.

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The frequency and clinical aspects of extraesophageal syndromes in elderly patients with gastroesophageal reflux disease

Abstract: The extraesophageal manifestations of GERD in elderly patients are a serious clinical problem calling for considerable attention.

Cited by 4 publications

References 13 publications

Voice and Temporal Auditory Processing in Elderly People: A Correlation Study

Voice and Temporal Auditory Processing in Elderly People: A Correlation Study

Estudo da associação entre doenças crônicas naturais do envelhecimento e alterações da deglutição referidas por idosos da comunidade

Current management of proton pump inhibitor-refractory gastroesophageal reflux disease

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