Diagnosing Laryngopharyngeal Reflux: A Comparison between 24-hour pH-Impedance Testing and Pharyngeal Probe (Restech) Testing, with Introduction of the Sataloff Score.

Journal of Voice : Official Journal of the Voice Foundation
Dylan VanceRobert T Sataloff

Abstract

The purpose of this study was to compare the diagnostic utility of pH monitoring using 24-hour esophageal pH-Impedance (HEMII-pH) testing versus pharyngeal pH (Restech) testing (Respiratory Technology Corporation, Houston, Texas) for diagnosing laryngopharyngeal reflux (LPR). Retrospectively, patients were reviewed who had completed a Reflux Symptom Index (RSI) survey and stroboscopy within 60 days before or after undergoing simultaneous esophageal pH-Impedance monitoring and Restech testing. Reflux Finding Score (RFS) was determined by 4 blinded observers. 80.45% of patients were on anti-reflux medications at the time of study and had incomplete response to treatment for reflux. Improvement on reflux treatment was determined by evaluating presenting pre-pH monitoring RFS, post treatment RFS, and improvement of symptoms. Pearson correlation coefficients were calculated to assess relationships among RSI, RFS, and test results from HEMII-pH and Restech tests. Eighty-seven patients were included in the analysis. The inter-rater reliability of the RFS determination was 74.57%, and the intra-rater reliability was 67.00%. Subjects who had a positive RYAN Score had a significant correlation with RFS (r of 0.222 and p-value of 0.0492)....Continue Reading

References

Sep 25, 2001·The Laryngoscope·P C BelafskyJ A Koufman
Aug 2, 2002·Journal of Voice : Official Journal of the Voice Foundation·Peter C BelafskyJames A Koufman
Dec 5, 2006·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Hashem B El-Serag
Apr 10, 2007·The Laryngoscope·Nikki JohnstonJamie A Koufman
Feb 28, 2009·The Annals of Otology, Rhinology, and Laryngology·Justin S GolubAdam M Klein
May 8, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·S AyaziT R DeMeester
May 20, 2011·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·E ChiouS Nurko
Jan 14, 2012·International Journal of Otolaryngology·Karna Dev BardhanPeter W Dettmar
Mar 28, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Valentin BeckerMonther Bajbouj
Nov 1, 2013·Journal of Indian Society of Periodontology·Sharmila BaligaRahul Kale
Sep 12, 2014·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·G MazzoleniS Passaretti
Dec 23, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Rena YadlapatiJohn E Pandolfino
May 25, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro AndolfiMarco G Patti
Feb 23, 2018·Acta Oto-laryngologica·Meixiang ChenYanling Zeng
Aug 8, 2018·Journal of Voice : Official Journal of the Voice Foundation·Lawrence F BorgesThomas L Carroll

❮ Previous
Next ❯

Related Concepts

Related Feeds

Barrett Esophagus

Barrett’s esophagus if a serious complication of gastroesophageal reflux disease during which the normal esophageal lining changes to tissue that resembles intestinal lining. Here is the latest research.