Video Experimental Relacionado

Updated: Apr 29, 2026

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring

Published on: December 14, 2020

Evaluación y manejo del reflujo laringofaríngeo

Charles N Ford¹

¹Department of Surgery, Division of Otolaryngology, University of Wisconsin, Madison, USA. ford@surgery.wisc.edu

|September 29, 2005

Resumen

El reflujo laringofaríngeo (RFL) causa inflamación laríngea y difiere de la ERGE. El diagnóstico implica la evaluación de los síntomas y pruebas de confirmación como la impedancia y el monitoreo del pH para un manejo efectivo.

Área de la Ciencia:

La otorrinolaringología otorrinolaringología.
Gastroenterología y Gastroenterología.
Diagnóstico médico Diagnóstico médico

Sus antecedentes:

El reflujo laringofaríngeo (RFL) es una causa significativa de la inflamación laríngea.
LPR presenta síntomas distintos en comparación con la enfermedad de reflujo gastroesofágico clásico (ERGE).

Objetivo del estudio:

Trazar un marco práctico para evaluar y gestionar los casos de LPR.
Para diferenciar LPR de GERD basado en fisiopatología y presentación clínica.

Principales métodos:

Búsqueda sistemática de la literatura de las bases de datos de PubMed y Ovid para estudios relacionados con LPR.
Búsqueda manual de revistas clave y listas de referencias para investigaciones relevantes sobre el diagnóstico y el tratamiento de la LPR.

Principales resultados:

LPR resulta de pequeñas cantidades de reflujo, causando síntomas laríngeos localizados, a diferencia de la ERGE.
Los instrumentos validados como el índice de síntomas de reflujo y la puntuación de búsqueda de reflujo ayudan al diagnóstico inicial de LPR.
La impedancia intraluminal multicanal y el monitoreo del pH ofrecen una mejor precisión de diagnóstico para eventos de LPR, incluido el reflujo no ácido.

Conclusiones:

La sospecha de LPR surge de la historia sugestiva y los hallazgos de la laringoscopia.
Los estudios de confirmación son necesarios si un ensayo de 3 meses de cambios de comportamiento e IBP falla.
La impedancia y el monitoreo del pH son cruciales para confirmar la LPR y evaluar su gravedad.

Más Videos Relacionados

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

Videos de Conceptos Relacionados

Chronic Pharyngitis

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...

Barrett Esophagus-II: Clinical Manifestations and Management

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...

Esophageal Strictures-II: Clinical Features and Management

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...

Gastroesophageal Reflux Disease

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is the backward flow of stomach contents (acid, pepsin, or bile) into the esophagus, causing mucosal inflammation known as esophagitis. It results from failure of antireflux mechanisms, mainly the lower esophageal sphincter (LES), influenced by mechanical and physiological factors.Etiology and Risk FactorsGERD develops when LES function is weakened or when intra-abdominal pressure increases. Risk factors include aging, obesity, and sliding hiatal hernia,...