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[Asthma and gastroesophageal reflux]
1Service de Pneumologie, Centre Hospitalier Lyon Sud.
Allergie Et Immunologie
|February 1, 1987
Summary
Gastroesophageal reflux (GER) is frequently observed in asthma patients. Diagnosis and management strategies for GER in asthma require careful consideration, with medical treatment often preferred over surgery.
Area of Science:
- Pulmonology
- Gastroenterology
- Medical Science
Background:
- Asthma is a chronic respiratory condition with complex pathophysiology.
- Gastroesophageal reflux (GER) is a potential exacerbating factor in asthma.
- Understanding the interplay between GER and asthma is crucial for effective patient management.
Purpose of the Study:
- To review current knowledge on the relationship between asthma and GER.
- To identify clinical indicators suggestive of GER in asthma patients.
- To discuss unresolved diagnostic and management challenges.
Main Methods:
- Review of data from the last ten years.
- Analysis of clinical signs and provocative factors of GER in asthma.
- Evaluation of diagnostic methods, including prolonged pH monitoring and isotopic exploration.
- Assessment of management strategies, encompassing medical and surgical interventions.
Main Results:
- High frequency of GER in patients with asthma.
- Identification of clinical signs and provocative factors (mechanical, iatrogenic, neurogenic) associated with GER in asthma.
- Prolonged pH measurements and isotopic explorations are recommended diagnostic techniques for GER.
- Medical management of GER is widely recommended; surgical indications require careful evaluation.
Conclusions:
- A strong association exists between asthma and GER.
- Accurate diagnosis of GER is essential for managing asthma exacerbations.
- A tailored approach to GER management, prioritizing medical treatment, is advised for asthma patients.