1994
DOI: 10.1016/0002-9343(94)90061-2
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Omeprazole for the treatment of posterior laryngitis

Abstract: The signs and symptoms of posterior laryngitis improve with the administration of omeprazole and symptoms recur after discontinuation of therapy, suggesting that reflux is the underlying etiology. Patients with refractory symptoms, but intolerant of omeprazole, may benefit from antireflux surgery. Laryngoscopic findings of posterior laryngitis are often subtle, and many patients with posterior laryngitis do not have esophagitis.

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Cited by 180 publications
(106 citation statements)
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“…Empirical treatment for patients without typical symptoms or objective evidence of GERD thus cannot be routinely recommended. Th e historic recommendation is to treat patients with higher dose PPI (twice daily) than patients with typical GERD symptoms; however, this is based on uncontrolled and observational data only ( 143,144 ). Patients who are treated with PPI and who do not respond to a 2 -3 month course of acid suppression can be evaluated and managed as proposed in the " refractory GERD " section.…”
Section: Summary Of the Evidencementioning
confidence: 99%
“…Empirical treatment for patients without typical symptoms or objective evidence of GERD thus cannot be routinely recommended. Th e historic recommendation is to treat patients with higher dose PPI (twice daily) than patients with typical GERD symptoms; however, this is based on uncontrolled and observational data only ( 143,144 ). Patients who are treated with PPI and who do not respond to a 2 -3 month course of acid suppression can be evaluated and managed as proposed in the " refractory GERD " section.…”
Section: Summary Of the Evidencementioning
confidence: 99%
“…7 Typical GERD-related symptoms (heartburn and regurgitation) are absent in the majority of patients with chronic laryngitis, and the presence of esophageal inflammation ranges from 19% to 40% in these patients. 70,71 Abnormal esophageal pH monitoring was found in 55-79% and 18-70% of patients with chronic hoarseness or posterior laryngitis, respectively.…”
Section: Extraesophageal M Anifestations Of Gastroesophageal Reflux Dmentioning
confidence: 99%
“…This is in accordance with several previously published studies [1±7, 10, 14±19] in which GOR-related chronic cough was relieved with medical antireflux therapy. Unfortunately most of these 10,14,15] or they have been retrospective [16,17]. There is also evidence that operative treatment of GOR will improve chronic cough [27,28].…”
Section: Discussionmentioning
confidence: 99%