TITLE

Fundoplication eliminates chronic cough due to non-acid reflux identified by impedance pH monitoring

AUTHOR(S)
Mainie, I.; Tutuian, R.; Agrawal, A.; Hila, A.; Highland, K. B.; Adams, D. B.; Castell, D. O.
PUB. DATE
June 2005
SOURCE
Thorax;Jun2005, Vol. 60 Issue 6, p521
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The symptoms of extra-oesophageal gastro-oesophageal reflux disease (GORD) (such as chronic and hoarseness) are traditionally more difficult to treat than typical GORD symptoms (heartburn and regurgitation). Patients with extra-oesophageal manifestations may require longer and higher doses of acids suppressive therapy. In patients not responding to acid suppressive therapy the physician faces a dilemma as to whether the symptoms are due to ongoing acid-reflux, non-acid reflux, or not associated with reflux. We report the case of a 45 year old woman with a history of a chronic cough referred for fundoplication after documenting her symptoms were associated with non-acid reflux using multichannel intraluminal impedance and pH (MII-pH).
ACCESSION #
17359845

 

Related Articles

  • Total fundoplication controls acid and nonacid reflux: evaluation by pre- and postoperative 24-h pH–multichannel intraluminal impedance. del Genio, Gianmattia; Tolone, Salvatore; del Genio, Federica; Rossetti, Gianluca; Brusciano, Luigi; Pizza, Francesco; Fei, Landino; del Genio, Alberto // Surgical Endoscopy;Nov2008, Vol. 22 Issue 11, p2518 

    Studies have demonstrated that Nissen fundoplication controls acid gastroesophageal reflux (GER). Combined 24-h pH and multichannel intraluminal impedance (MII-pH) allows detection of both acid and nonacid GER. Antireflux surgery is considered for any patient whose medical therapy is not...

  • Prospective assessment of patient selection for antireflux surgery by combined multichannel intraluminal impedance pH monitoring. del Genio, Gianmattia; Tolone, Salvatore; del Genio, Federica; Aggarwal, Rajesh; d'Alessandro, Antonio; Allaria, Alfredo; Rossetti, Gianluca; Brusciano, Luigi; del Genio, Alberto // Journal of Gastrointestinal Surgery;Sep2008, Vol. 12 Issue 9, p1491 

    Introduction: Selecting gastroesophageal reflux disease (GERD) patients for surgery on the basis of standard 24-h pH monitoring may be challenging, particularly if this investigation does not correlate with clinical symptoms. Combined multichannel intraluminal impedance pH...

  • Pyloroplasty with Fundoplication in the Treatment of Combined Gastroesophageal Reflux Disease and Bloating. Masqusi, Suhair; Velanovich, Vic // World Journal of Surgery;Feb2007, Vol. 31 Issue 2, p332 

    Although gastroparesis does not influence gastroesophageal reflux disease (GERD) or antireflux surgery, many patients with GERD will also suffer from gastroparesis-related bloating as a distinct symptom different from GERD-related symptoms. The purpose of this study was to assess whether a...

  • Laparoscopic Fundoplication in the Therapy of Patients With Gastroesophageal Reflux Disease. Slotwiner-Nie, Peter; Reinus, John F.; Johnson, David // American Journal of Gastroenterology;Nov1999, Vol. 94 Issue 11, p3367 

    Spivak et al. have evaluated the efficacy of laparoscopic fundoplication (LFP) in the therapy of patients with gastroesophageal reflux disease (GERD) complicated by peptic stricture and moderate, severe, or incapacitating dysphagia. Four hundred and fifty-eight patients with GERD were...

  • Laparoscopic antireflux surgery in neurologically impaired children. Lima, M.; Bertozzi, M.; Ruggeri, G.; Dòmini, M.; Libri, M.; Parigi, G. B.; De Biagi, L.; Franzoni, E.; Bernardi, F.; Dòmini, M // Pediatric Surgery International;Feb2004, Vol. 20 Issue 2, p114 

    From May 1996 to April 2002, 48 laparoscopic fundoplications were performed after failure of medical treatment in 47 neurologically impaired infants and children affected by gastroesophageal reflux. Indications for surgery included vomiting, recurrent upper airway infections, failure of medical...

  • Obesity Is Not a Contraindication to Laparoscopic Nissen Fundoplication D'Alessio, Matthew J.; Arnaoutakis, Dean; Giarelli, Natalie; Villadolid, Desiree V.; Rosemurgy, Alexander S. // Journal of Gastrointestinal Surgery;Sep2005, Vol. 9 Issue 7, p949 

    Obesity has been shown to be a significant predisposing factor for gastroesophageal reflux disease (GERD). However, obesity is also thought to be a contraindication to antireflux surgery. This study was undertaken to determine if clinical outcomes after laparoscopic Nissen fundoplications are...

  • Comparison of patient-centered outcomes after laparoscopic Nissen fundoplication for gastroesophageal reflux disease or paraesophageal hernia. Mark, Lisa A.; Okrainec, Allan; Ferri, Lorenzo; Feldman, Liane E.; Mayrand, Serge; Fried, Gerald M. // Surgical Endoscopy;Feb2008, Vol. 22 Issue 2, p343 

    Patients undergoing laparoscopic Nissen fundoplication (LNF) with paraesophageal hernias (PEH) are not only older and less healthy than those with gastroesophageal reflux disease (GERD), but in addition the repair is more complicated. We evaluated whether outcomes relating to GERD symptoms and...

  • Non-Acid Reflux: Detection by Multichannel Intraluminal Impedance and pH, Clinical Significance and Management. Vela, Marcelo F // American Journal of Gastroenterology;Feb2009, Vol. 104 Issue 2, p277 

    The article explores an approach to measure non-acid reflux in gastroesophageal reflux disease (GERD) and its clinical importance. Multichannel intraluminal impedance and pH (MII-pH) is able to detect gastroesophageal reflux at all pH levels. Performing MII-pH on medication in patients with...

  • The effect of laparoscopic Nissen fundoplication on laryngeal findings and voice quality. Ogut, F.; Ersin, S.; Engin, E.; Kirazli, T.; Midilli, R.; Unsal, G.; Bor, S.; Engin, E Z // Surgical Endoscopy;Apr2007, Vol. 21 Issue 4, p549 

    Background: This study aimed to report the need for an ear, nose, and throat (ENT) specialist to evaluate the laryngeal findings and the voice quality of patients with gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) symptoms before and after...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics