Use of a positional therapy device significantly improves nocturnal gastroesophageal reflux symptoms

Allampati, Sanath; López, Rocío; Thota, Priyaleela; Ray, Monica; Birgisson, Sigurbjörn; Gabbard, Scott

doi:10.1111/dote.12495

Cited by 59 publications

(15 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Once the efficacy of the MAD was confirmed, individuals were placed on a recall program to regularly assess continued treatment success with the device and to reinforce sleep hygiene, sleep position and weight control as part of their overall management (41). While positional OSA was not a reported variable of this study, left lateral sleep position, preferably on an incline (MedCline, 8825 Rehco Road Suite D, San Diego, CA 92121) (42, 43) was promoted with every patient undergoing MAD therapy, to attempt to alleviate supine sleep and reduce GER. As patients were sleeping in their home environments, it was not possible to objectively determine whether they were compliant with sleep position recommendations.…”

Section: Methodsmentioning

confidence: 99%

High-Resolution Pulse Oximetry and Titration of a Mandibular Advancement Device for Obstructive Sleep Apnea

et al. 2019

View full text Add to dashboard Cite

Background: To determine whether utilizing high-resolution pulse oximetry is a viable method for evaluating the successful titration of oral appliances for the treatment of obstructive sleep apnea (OSA) patients. Methods: Of 136 consecutive potentially eligible OSA patients, 133 were fitted with mandibular advancement devices (MADs), and 101 completed all phases of treatment. The vertical and horizontal dimensions of the appliances were adjusted based on three-nights with a high-resolution pulse oximeter during sleep and associated software after each adjustment. Results: Significant improvements in OSA severity were apparent in patients at all disease severity levels. High-resolution pulse oximetry provided reliable guidance in the titration process of mandibular advancement therapy. In 67 subjects (66.3%), a respiratory event index of <5 events/hour was achieved. Conclusions: OSA can be effectively treated with a MAD at any severity level, and high-resolution pulse oximetry provides critical information to guide oral appliance titration.

show abstract

Section: Methodsmentioning

confidence: 99%

High-Resolution Pulse Oximetry and Titration of a Mandibular Advancement Device for Obstructive Sleep Apnea

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Antireflux pillows, intending to maintain the left lateral decubitus position during the night, have been found to result in less recumbent acid exposure and less self-reported nocturnal reflux symptoms. 8,9 However, these pillows do not allow for spontaneous body movements and therefore can be uncomfortable. Electronic sleep position trainers, worn directly on the body, may provide a therapeutic alternative to these pillows.…”

mentioning

confidence: 99%

Sleep Positional Therapy for Nocturnal Gastroesophageal Reflux: A Double-Blind, Randomized, Sham-Controlled Trial

Schuitenmaker¹,

Kuipers²,

Nijhuis³

et al. 2022

Clinical Gastroenterology and Hepatology

View full text Add to dashboard Cite

“…222 In patients with PPI refractory nocturnal reflux symptoms, 2-week use of the sleep pillow resulted in a substantial reduction in nocturnal and overall reflux symptoms on validated questionnaires, and 91% continued to use the pillow at 3-month follow-up. 223 Therefore, sleep positional therapy seems to be effective in patients with GERD and nocturnal symptoms.…”

Section: Surgical and Interventional Management Of Gerdmentioning

confidence: 99%

“…A dedicated pillow that forces the user to sleep on the left lateral position and simultaneously increases the head end of the subject's bed has shown a reduction in nocturnal reflux episodes in healthy volunteers 222 . In patients with PPI refractory nocturnal reflux symptoms, 2‐week use of the sleep pillow resulted in a substantial reduction in nocturnal and overall reflux symptoms on validated questionnaires, and 91% continued to use the pillow at 3‐month follow‐up 223 . Therefore, sleep positional therapy seems to be effective in patients with GERD and nocturnal symptoms.…”

Section: Managementmentioning

confidence: 99%

ESNM/ANMS consensus paper: Diagnosis and management of refractory gastro‐esophageal reflux disease

Zerbib

Bredenoord²,

Fass

et al. 2020

Neurogastroenterology Motil

View full text Add to dashboard Cite

Up to 40% of patients with symptoms suspicious of gastroesophageal reflux disease (GERD) do not respond completely to proton pump inhibitor (PPI) therapy. The term "refractory GERD" has been used loosely in the literature. A distinction should be made between refractory symptoms (ie, symptoms may or may not be GERD-related), refractory GERD symptoms (ie, persisting symptoms in patients with proven GERD, regardless of relationship to ongoing reflux), and refractory GERD (ie, objective evidence of GERD despite adequate medical management). The present ESNM/ANMS consensus paper proposes use the term "refractory GERD symptoms" only in patients with persisting symptoms and previously proven GERD by either endoscopy or esophageal pH monitoring. Even in this context, symptoms may or may not be reflux related. Objective evaluation, including endoscopy and esophageal physiologic testing, is requisite to provide insights into mechanisms of symptom generation and evidence of true refractory GERD. Some patients may have true ongoing refractory acid or weakly acidic reflux despite PPIs, while others have no evidence of ongoing reflux, and yet others have functional esophageal disorders (overlapping with proven GERD confirmed off therapy). In this context, attention should also be paid to supragastric belching and rumination syndrome, which may be important contributors to refractory symptoms.

show abstract

Use of a positional therapy device significantly improves nocturnal gastroesophageal reflux symptoms

Cited by 59 publications

References 29 publications

High-Resolution Pulse Oximetry and Titration of a Mandibular Advancement Device for Obstructive Sleep Apnea

High-Resolution Pulse Oximetry and Titration of a Mandibular Advancement Device for Obstructive Sleep Apnea

Sleep Positional Therapy for Nocturnal Gastroesophageal Reflux: A Double-Blind, Randomized, Sham-Controlled Trial

ESNM/ANMS consensus paper: Diagnosis and management of refractory gastro‐esophageal reflux disease

Contact Info

Product

Resources

About