Ponce-Pérez JE

Language: Spanish
References: 15
Page: 25-37
PDF size: 366.35 Kb.

ABSTRACT

Objective: To assess the coincidence of physicians of different degrees of experience of specialty of Otorhynolaryngology from Hospital Central Sur de Alta Especialidad, Mexico City, to diagnose patients with pharyngo-laryngeal reflux applying endoscopic scale of Belafsky.
Material and method: A comparative cross-sectional study was done to evaluate the ability of physicians in training in the specialty of Otolaryngology at the different years to diagnose pharyngo-laryngeal reflux using endoscopic Belafsky’s scale developed by relating the experience of medical service attached.
Results: physicians with greater experience have greater interobserver correlation with the attending physician, and that the correct application of this scale requires a theoretical and practical learning.
Conclusions: It is necessary to pass by a learning curve, given by the experience acquired with the constant contact wit patients; even when there may be disagrees among physicians, even of the same degree of specialty. Keeping in mind the aspects to be valued, it is possible to diagnose patients satisfactorily without the necessity of doing studies causing loss of time and economical resources for patient and institutions.

REFERENCES

1. Khan AM, Hashmi SR, Elahi F, Tariq M, Ingrams DR. Laryngopharyngeal reflux: A literature review. Surgeon 2006;4:221-225.

2. Iman N. Laryngopharyngeal reflux: Overview and clinical implications. Northeast Florida Medicine 2011;62:35-38.

3. Gupta R, Thayer R. Laryngopharyngeal reflux: current concepts and questions. Curr Opin Otolaryngol Head Neck Surg 2009;17:143-148.

4. Johnston N, Dettmar PW, Lively MO, et al. Effect of pepsin on laryngeal stress protein (Sep70, Sep53, and Hsp70) response: role in laryngopharyngeal reflux disease. Ann Otol Rhino Laryngol 2006;115:47-58.

5. Johnston N, Knight J, Dettmar PW, et al. Pepsin and carbonic anhydrase isoenzyme III as diagnostic markers for laryngopharyngeal reflux disease. Laryngoscope 2004;114:2129-2134.

6. Johnston N, Wells CW, Blumin JH, et al. Receptor-mediated uptake of pepsin by laryngeal epithelial cells. Ann Otol Rhinol Laryngol 2007;116:934-938.

7. Spechler SJ. Gastroesophageal reflux disease and its complications. Current diagnosis and treatment in gastroenterology. Appleton & Lange, 1996;245-260.

8. Wiener GJ, Koufman JA, Wu WC, Cooper JB, et al. Chronic hoarseness secondary to gastroesophageal reflux disease: documentation with 24-h ambulatory pH monitoring. Am J Gastroenterol 1989;84:1503-1508.

9. Koufman JA. The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 1991;101:1-78.

10. Tutuian R, Castell D. Diagnosis of laryngopharyngeal reflux. Curr Opin Otolaryngol Head Neck Surg 2004;12:174-179.

11. Belafsky P, Postma G, Koufman J. Validity and reliability of the reflux symptom index (RSI). J Voice 2002;16:274-277.

12. Belafsky P. Abnormal endoscopic pharyngeal and laryngeal findings attributable to reflux. Am J Med 2003;115:90-96.

13. Celik M, Ercan I. Diagnosis and management of laryngopharyngeal reflux disease. Curr Opin Otolaryngol Head Neck Surg 2006;14:150-155.

14. Wescott C, Hopkins B, Bach K, Postma K, et al. Fundoplication for laryngopharyngeal reflux disease. J Am Coll Surg 2004;199:23-30.

15. Dagli S, Dagli U, Kurtaran H, Alkim C, Sahin B. Laryngopharyngeal reflux in laryngeal cancer. Turk J Gastroenterol 2004;15:77-81.