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Updated: Jul 14, 2026

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
Gastroesophageal reflux in patients with recurrent laryngeal papillomatosis
Shirley Shizue Nagata Pignatari1, Raquel Ysabel Guzmán Liriano, Melissa A G Avelino
1Dept. Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Escola Paulista de Medicina, Universidade Federal de São Paulo. pigna@terra.com.br
Insights
Gastroesophageal reflux is common in children with recurrent laryngeal papillomatosis. High rates of proximal reflux suggest a link between reflux and this condition, impacting its severity.
Area of Science:
- Pediatric Otolaryngology
- Gastroenterology
- Respiratory Medicine
Background:
- Gastroesophageal reflux (GER) is increasingly linked to pediatric respiratory disorders.
- Conditions like stridor, chronic cough, pneumonia, and bronchitis may stem from GER.
- GER might also influence the recurrence and severity of recurrent laryngeal papillomatosis (RLP).
Purpose of the Study:
- To investigate the frequency and intensity of GER in children diagnosed with RLP.
Main Methods:
- A study involving ten pediatric patients (ages 3-12) with RLP.
- Utilized 24-hour double-probe pH-metry to assess GER.
Main Results:
- Fifty percent of RLP patients showed distal sphincter GER.
- A significant 90% of RLP patients exhibited proximal sphincter GER.
Conclusions:
- The incidence of proximal GER is markedly elevated in children with RLP.
- This finding suggests a strong association between proximal GER and RLP.
Unlabelled:
Evidence of a relation between gastroesophaeal reflux and pediatric respiratory disorders increases every year. Many respiratory symptoms and clinical conditions such as stridor, chronic cough, and recurrent pneumonia and bronchitis appear to be related to gastroesophageal reflux. Some studies have also suggested that gastroesophageal reflux may be associated with recurrent laryngeal papillomatosis, contributing to its recurrence and severity.
Aim:
the aim of this study was to verify the frequency and intensity of gastroesophageal reflux in children with recurrent laryngeal papillomatosis.
Material And Methods:
ten children of both genders, aged between 3 and 12 years, presenting laryngeal papillomatosis, were included in this study. The children underwent 24-hour double-probe pH-metry.
Results:
fifty percent of the patients had evidence of gastroesophageal reflux at the distal sphincter; 90% presented reflux at the proximal sphincter.
Conclusion:
the frequency of proximal gastroesophageal reflux is significantly increased in patients with recurrent laryngeal papillomatosis.
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