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Updated: May 8, 2026

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia

Published on: February 16, 2024

Management of globus pharyngeus.

S Kortequee¹, P D Karkos, H Atkinson

¹Department of Otolaryngology, Bradford Royal Infirmary, Bradford BD9 6RJ, UK.

International Journal of Otolaryngology

|August 13, 2013

Summary

This summary is machine-generated.

Globus pharyngeus, a common ENT issue, often requires reassurance over extensive testing. Further research is needed to understand its unclear causes, with reflux a suspected, though unproven, factor.

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Area of Science:

Otolaryngology
Gastroenterology

Background:

Globus pharyngeus is a prevalent condition encountered in Ear, Nose, and Throat (ENT) practice.
The exact cause of globus remains elusive, but gastroesophageal reflux is frequently implicated by clinicians.

Purpose of the Study:

To review current evidence regarding globus pharyngeus.
To provide a rational management approach for patients presenting with globus symptoms.

Main Methods:

Literature review of existing evidence on globus pharyngeus.
Analysis of clinical management strategies.

Main Results:

The efficacy of proton pump inhibitors, commonly used for reflux, lacks strong supporting evidence in globus management.
Simple outpatient investigations are often sufficient for diagnosis and management.
Reassurance and conservative management are frequently adequate, given the benign nature of the condition.

Conclusions:

Extensive investigations like oesophagoscopy or contrast swallows may not be necessary for most globus patients.
The hypothesis of pepsin-induced laryngeal injury warrants further investigation.
More research is crucial to elucidate the underlying aetiology of globus pharyngeus.