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[Laryngopharyngeal reflux disease (LPRD) in children]

Oliver Reichel, Panagiotis Saravakos, Kai J Lorenz

    Laryngo- Rhino- Otologie
    |August 3, 2017
    PubMed

    Insights

    Laryngopharyngeal reflux disease (LPRD) in children presents unique diagnostic and therapeutic challenges distinct from gastroesophageal reflux disease (GERD). This article details age-specific symptoms, diagnostic methods, and treatments for pediatric LPRD.

    Area of Science:

    • Pediatrics
    • Otorhinolaryngology
    • Gastroenterology

    Background:

    • Laryngopharyngeal reflux disease (LPRD) in children involves reflux beyond the esophagus, differing from gastroesophageal reflux disease (GERD).
    • Established guidelines exist for GERD, but pediatric LPRD diagnosis and therapy remain subjects of ongoing discussion.
    • Otorhinolaryngologists are increasingly involved in managing pediatric LPRD.

    Observation:

    • LPRD symptoms, clinical findings, and sequelae stem from refluxate beyond the esophagus.
    • Flexible transnasal laryngopharyngoscopy is a key diagnostic tool for LPRD.
    • Pediatric LPRD requires distinct diagnostic procedures and therapies compared to GERD.

    Findings:

    • LPRD and GERD in children are distinct entities with different symptoms, causes, diagnostics, and treatments.
    • Age-dependent clinical presentations are crucial for diagnosing pediatric LPRD.
    • Otorhinolaryngology plays a vital role in the interdisciplinary diagnosis of pediatric LPRD.

    Implications:

    • Accurate differentiation between LPRD and GERD is essential for effective pediatric management.
    • The involvement of otorhinolaryngologists enhances the diagnostic network for suspected pediatric LPRD.
    • This article provides a guide to age-dependent symptoms, diagnostics, differential diagnoses, and therapies for pediatric LPRD.

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