Author/Editor		Šereg-Bahar, Maja; Janša, Rado; Hočevar-Boltežar, Irena
Title		Glasovne motnje in gastroezofagealni refluks
Translated title		Voice disorders and gastroesophageal reflux
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 43, št. Suppl 3
Publication year		2004
Volume		str. 221-4
Language		slo
Abstract		Gastroesophageal reflux is manifested with typical and atypical signs, including otorhinolaryngological ones. The aim of our study was to determine the frequency of gastroesophageal reflux as the cause of otorhinolaryngological symptoms, as well as the meaning of our research results. Our study included 21 patients. These were suspected to have gastroesophageal reflux as the underlying cause of their otorhinolaryngological problems based on their medical history and ENT examination. Gastroscopy was performed, with biopsy of esophageal mucosa and fiberoptic laryngoscopy, and changes of laryngeal mucosa were evaluated using Belafsky's reflux finding score and acoustic analysis of voice samples. The patients were also asked to evaluate their voice disorders using a standardised questionnaire, Voice Handicap Index. The study is still in progress. Previous results indicate that fiberoptic laryngoscopy and evaluation of mucosal changes with Belafsky's reflux finding score show extraesophageal reflux disease better than esophagogastroscopy. Histological examination of esophageal mucosa proved reflux in all patients who were clinically suspected to have it.
Summary		Gastroezofagealni refluks se kaže s tipično ali atipično klinično sliko, med katero sodijo tudi otorinolaringološki simptomi. Namen naše raziskave je ugotoviti pogostnost gastroezofagealnega refluksa kot vzroka otorinolaringoloških simptomov in pomena ob tem opravljenih preiskav. V raziskavo smo zajeli 21 bolnikov, pri katerih smo na podlagi anamneze in pregleda posumili, da je vzrok otorinolaringološkim težavam refluks. Napravili smo ezofagogastroskopijo z biopsijo sluznice požiralnika, ocenili spremembe na sluznici grla po Belafskem z videoendoskopom in napravili akustično analizo glasu. Bolniki so sami ocenili svoje glasovne težave s standardiziranim vprašalnikom. Raziskava še poteka. Dosedanji rezultati kažejo, da je endoskopski pregled sluznice grla in žrela ter ocena po Belafskem bolj natančen pokazatelj ekstraezofagealne refluksne bolezni kot ezofagogastroskopija sama. Histološki pregled biopsije požiralnika je namreč pri vseh bolnikih s klinično postavljenim sumom na refluks to tudi potrdil.
Descriptors		GASTROESOPHAGEAL REFLUX VOICE DISORDERS LARYNGOSCOPY GASTROSCOPY