9. - LPR Flashcards

1
Q

Maggie Kuhn

A

UC Davis

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2
Q

Pathophys

A

Contribution of neuro reflexive signaling when there is acid in distal esophagus
Effects of pepsin and bile acids

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3
Q

Clinical assessment

A

Symptom burden may decrease with age
Women may be disproportionately affected
Alternatives to RSI and RFS have been developed

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4
Q

Diagnostic Testing

A

48h pH testing has improved sensitivity
Hypopharyngeal multichannel. Intraluminal impedence is useful
Laryngopharyngeal pepsin detection

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5
Q

Treatment

A

Divergence from GERD management
- Still deciding what patients will respond to
PPI Alternatives
Addressing diet and lifestyle

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