9. - LPR Flashcards
1
Q
Maggie Kuhn
A
UC Davis
2
Q
Pathophys
A
Contribution of neuro reflexive signaling when there is acid in distal esophagus
Effects of pepsin and bile acids
3
Q
Clinical assessment
A
Symptom burden may decrease with age
Women may be disproportionately affected
Alternatives to RSI and RFS have been developed
4
Q
Diagnostic Testing
A
48h pH testing has improved sensitivity
Hypopharyngeal multichannel. Intraluminal impedence is useful
Laryngopharyngeal pepsin detection
5
Q
Treatment
A
Divergence from GERD management
- Still deciding what patients will respond to
PPI Alternatives
Addressing diet and lifestyle