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[Asthma and gastroesophageal reflux].

M Perrin-Fayolle1, F Gormand

  • 1Service de Pneumologie, Centre Hospitalier Lyon-sud, Pierre-Bénite.

Allergie Et Immunologie
|December 1, 1988
PubMed
Summary

Gastro-oesophageal reflux (GER) is strongly linked to asthma, particularly severe cases. This review covers GER diagnosis, its impact on asthma, and treatment options, including surgical correction.

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Area of Science:

  • Pulmonology and Gastroenterology
  • Investigates the intricate relationship between respiratory and digestive system disorders.

Context:

  • Asthma and gastro-oesophageal reflux (GER) frequently coexist, especially in severe asthma cases.
  • Understanding the bidirectional relationship between GER and asthma is crucial for effective patient management.

Purpose:

  • To review established data on the asthma-GER association.
  • To discuss diagnostic procedures, mechanisms, and therapeutic strategies for GER in asthmatic patients.

Summary:

  • The review covers the high frequency of GER in severe asthma, diagnostic methods, and the significance of reflux (causative or secondary).
  • Mechanisms of GER's action on asthma are discussed, alongside unresolved issues like GER's effect on asthma symptoms.
  • Clinical data and the Bernstein acid infusion test are highlighted for evaluating GER's impact. Therapeutic indications, including surgical correction, are examined, with results from a long-term surgical treatment study presented.

Impact:

  • Provides a comprehensive overview of the current understanding of the asthma-GER connection.
  • Offers insights into diagnostic and therapeutic approaches for managing coexisting asthma and GER.
  • Highlights the importance of considering GER in asthma management and presents evidence for surgical interventions.

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