LPR silent.docVIP

Laryngopharyngeal Reflux (LPR) Silent Reflux Jamie A. Koufman, M.D., F.A.C.S.? When it comes to LPR, I’m an elder statesman. I have been interested in laryngopharyngeal reflux (LPR), the backflow of gastric (stomach) contents into the throat, my entire career.1-36 I actually coined the term laryngopharyngeal reflux more than two decades ago to distinguish it from classical gastroesophageal reflux disease (GERD). In the intervening years, the manifestations, mechanisms, diagnosis and treatment of LPR have been studied by many; but after all this time, there is more controversy than ever. LPR