P0994 Role of Gastroesophageal Reflux (Ger) in Chronic Respiratory and Ear, Nose, Throat (Ent) Diseases as Detected by Multichannel Intraluminal Impedance (Mii)

Gastroesophageal Reflux and Supraesophageal Complications: Really True or Ballyhoo?

“…Velepic et al (50) prospectively compared the frequency and the ratio of GERD to allergies as possible risk factors in the cause of chronic tubotympanal disorders. We have not found any significant association of GERD with otitis media, when endoscopic biopsy was used to make the diagnosis (51). Although GERD symptoms were present in a significant number of children with otitis media, there was no difference in the outcome either with tympanostomy tube placement or with treatment of GERD in our patients.…”

“…For patients with respiratory problems, laryngotracheal inspection for laryngeal edema and bronchoalveolar lavage should be performed before starting empiric therapy for GERD. The purpose of such an extensive exercise initially is to allow good outcomerelated data and to allow us to determine the relative value of diagnostic methods so that the best test can be used in future (4,13,51,(60)(61)(62).…”