LPR 2002LR 2002.docVIP

Laryngopharyngeal reflux 2002: a new paradigm of airway disease. (Introduction). AbstractOur purpose in writing this supplement is to provide an overview of laryngopharyngeal reflux This supplement is not all-encompassing; some of the material presented is controversial; and we recognize that it does represent the bias of physicians at the Center for Voice Disorders of Wake Forest University. Furthermore, we understand that we raise as many questions as we answer. Still, we hope that this supplement will serve as a useful summary of LPR for clinicians, and that it will stimulate others in the research arena.BackgroundIt is likely that gastroesophageal reflux disease gastroesophageal reflux disease (GERD)Disorder characterized by frequent passage of gastric contents from the stomach back into the esophagus. Symptoms of GERD may include heartburn, coughing, frequent clearing of the throat, and difficulty in swallowing. ?(GERD GERD?gastroesophageal reflux disease. GERD?) was recognized in antiquity. In 1618, Fabricius described the gastroesophageal gastroesophageal?/gas·tro·esoph·a·ge·al/ (-e-sof?ah-je′al)1. pertaining to the stomach and esophagus.2. proceeding from the stomach to the esophagus. ?junction, which he referred to as cardia cardia?/car·dia/ (kahr′de-ah)1. the cardiac opening.2. the cardiac part of the stomach, surrounding the esophagogastric junction and distinguished by the presence of cardiac glands. , a term he attributed to Galen (ca. 200 AD). (1) Galen had coined the term because symptoms arising from the gastroesophageal junction could mimic those arising from the heart. (1) It was not until the 20th century, however, that the relationship between symptoms and gastroesophageal reflux gastroesophageal refluxn.A backflow of the contents of the stomach into the esophagus, caused by relaxation of the lower esophageal sphincter. Also called esophageal reflux, gastric reflux. ?(GER GER German/GermanyGER Gastroesophageal RefluxGER Geriatr