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Updated: Sep 16, 2025

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
[Laryngopharyngeal reflux disease-update 2025 : Revision taking into consideration the European CEORL-HNS guideline]
Arne Böttcher1, Lisa Schmitz2, Mihnea C Trache2
1Klinik und Poliklinik für Hals‑, Nasen- und Ohrenheilkunde, Kopf- und Neurozentrum, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20251, Hamburg, Deutschland. ar.boettcher@uke.de.
Abstract:
Laryngopharyngeal reflux disease (LPRD), a common condition with a variety of symptoms, often occurs without heartburn. One of the main causes appears to be the pepsin effect. Systematic recording of symptoms and findings confirms the suspected diagnosis. A patient-individualized multimodal therapy plan can quickly provide relief. Lifestyle modifications and treatment with alginate and proton pump inhibitors are often effective. Carcinophobic patients with foreign body sensation should be informed in detail and, in case of doubt, malignancy should be ruled out. This CME training course provides an overview of the current state of knowledge and refers to the recently published European guideline of the Confederation of European Otorhinolaryngology-Head and Neck Surgery Societies (CEORL-HNS).
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