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Extraesophageal Presentations of GERD

Gastroenterology Clinics of North America, ISSN: 0889-8553, Vol: 43, Issue: 1, Page: 105-120
2014
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The management of gastro-oesophageal reflux diseaseC Keung, G Hebbard

| http://dx.doi.org/10.18773/austprescr.2016.003 Charlotte Keung Gastroenterology registrar 1,2 Geoffrey Hebbard Director of Gastroenterology 2 1 Launceston General Hospital Tasmania 2 Royal Melbourne Hospital Summary If there

Review Description

This article reviews the evaluation and management of patients with suspected extraesophageal manifestations of gastroesophageal reflux disease, such as asthma, chronic cough, and laryngitis, which are commonly encountered in gastroenterology practices. Otolaryngologists and gastroenterologists commonly disagree upon the underlying cause for complaints in patients with one of the suspected extraesophageal reflux syndromes. The accuracy of diagnostic tests (laryngoscopy, endoscopy, and pH- or pH-impedance monitoring) for patients with suspected extraesophageal manifestations of gastroesophageal reflux disease is suboptimal. An empiric trial of proton pump inhibitors in patients without alarm features can help some patients, but the response to therapy is variable. © 2014 Elsevier Inc.

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