Prevalence and Factors Associated with Laryngopharyngeal Reflux (LPR) among Patients Diagnosed with GERD in Samphran Hospital, Nakhon Pathom

Authors

  • Khattiya Santayakorn M.D., Samphran Hospital
  • Sanisa Tanprasert M.D.,M.P.H. Lampang Hospital

Keywords:

gastroesophageal reflux disease, laryngopharyngeal reflux

Abstract

Objectives: The purpose of this study was to evaluate the prevalence and factors associated with laryngopharyngeal reflux (LPR) among patients diagnosed with gastroesophageal reflux disease (GERD) in Samphran Hospital, Nakhon Pathom.

Method: This prospective study included patients diagnosed with GERD at outpatients department in Samphran Hospital. Sample size was 165 cases. We collected data from June 1, 2019 until completed. The data of the patients were collected by GERD questionnaire, reflux symptom index (RSI) questionnaire and laryngoscopy examination to evaluate reflux finding score (RFS). Baseline characteristics data were analyzed by using means, standard deviations and percentages. Analytic data were analyzed by using simple linear regression and multiple linear regression with 95% confidence interval, reflected a significance level at .05.  

Results: There were 165 GERD patients. The mean age was 54 years (± 13.58), 131 (78.9%) cases were female. The mean body mass index (BMI) was 25.72 kg/m2 (± 6.81). The mean dinner-to-bed time was 2.06 hours (± 0.99). Prevalence of LPR among GERD patients was 47.4%. On simple and multiple linear regression analyses, positive correlation was observed between the GerdQ and RSI scores, RFS scores and RSI scores and BMI and RSI scores. Negative correlation was observed between dinner-to-bed time and RSI scores.         

Conclusions: Prevalence of LPR among GERD patients in Samphran Hospital was 47.4%. LPR occurs and positively correlates with GERD but negatively correlates with dinner-to-bed time. Should physicians have awareness to recognize LPR when treating GERD patients because it prolongs recovery time.

References

1. ธเนศ ชิตาพนารักษ์. Gastroesophageal reflux disease. ใน: เธียรไชย ภัทรสกุลชัย, พิชิต สิทธิไตรย์, นันทิการ์ สันสุวรรณ, บรรณาธิการ. Update in E.N.T. 7th. พิมพ์ครั้งที่ 1. เชียงใหม่: ทริค ธิงค์; 2549: หน้า98-105.
2. Jonasson C, Wernersson B, Hoff D.A.L, et al. Validation of the GerdQ questionnaire for the diagnosis of gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 2013; 37(5): 564-72. doi: 10.1111/apt.12204.
3. พิชิต สิทธิไตรย์. Laryngopharyngeal reflux disease. ใน: เธียรไชย ภัทรสกุลชัย, พิชิต สิทธิไตรย์, นันทิการ์ สันสุวรรณ, บรรณาธิการ. Update in E.N.T.7th. พิมพ์ครั้งที่ 1. เชียงใหม่: ทริค ธิงค์; 2549: หน้า108-116.
4. Cheung TK, Lam PK, Wei Wi, et al. Quality of life in patients with laryngopharyngeal reflux. Digestion. 2009; 79(1): 52-7. doi: 10.1159/000205267.
5. Belafsky PC, Postma GN, Koufman JA. The validity and reliability of the reflux symptom index (RSI). J Voice. 2002; 16(2): 274-7. doi: 10.1016/s0892-1997(02)00097-8.
6. Belafsky PC, Postma GN, Koufman JA. The validity and reliability of the reflux findingsscore (RFS). Laryngoscope. 2001; 111(8): 1313-7. doi: 10.1097/00005537-200108000-00001.
7. Powell J, Cocks HC. Mucosal changes in laryngopharyngeal reflux-Prevalence, Sensitivity, Specificity and assessment. Laryngoscpe 2013; 123(4): 985-91. doi: 10.1002/lary.23693.
8. Mosli M, Alkhathlan B, Abumohssin A, et al. Prevalence and clinical predictors of LPR among patients diagnosed with GERD according to the reflux symptom index questionnaire. Saudi J Gastroenterol. 2018 Jul-Aug; 24(4): 236-41. doi: 10.4103/sjg.SJG_518_17
9. Boekema PJ, Samsom M, Smout AJ. Effect of coffee on gastro-oesophageal reflux in patients with reflux disease and healthy controls. Eur J Gastroenterol Hepatol. 1999; 11(11): 1271-6. doi: 10.1097/00042737-199911000-00015.
10. Reiter R, Heyduck A, Seufterlein T, et al. Laryngopharyngeal reflux. Laryngorhinootologie. 2018; 97(4): 238-45. doi: 10.1055/s-0044-100794
11. Chen X M, Li Y, Guo WL, et al. Prevalence of laryngopharyngeal reflux disease in Fuzhou region of China. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016; 51(12): 909-13. doi: 10.3760/cma.j.issn.1673-0860.2016.12.006.
12. Barak N, Ehrenpreis ED, Harrison JR, et al. Gastrooesophageal reflux disease in obesity: pathophysiology and therapeutic considerations. Obes Rev. 2002; 3(1): 9-15. doi: 10.1046/j.1467-789x.2002.00049.x.
13. Wajed SA, Streets CG, Bremner CG, et al. Elevated body mass disrupts the barrier to gastroesophageal reflux. Arch Surg. 2001; 136(9): 1014-8. doi: 10.1001/archsurg.136.9.1014.
14. Kavitt RT, Vaezi MF. Diseases of the esophagus. In: Flint PW, Francis HW, Haughey BH, et al, editors. Cummings Otolaryngology head and neck surgery. 7th ed. Philadelphia: Elsevier; 2021. p.964-91.
15. Fujiwara Y, Machida A, Watanabe Y, et al. Association between dinner-to-bed time and gastroesophageal reflux disease. Am J Gastroenterol. 2005; 100(12): 2633-6.
doi: 10.1111/j.1572-0241.2005.00354.x.
16. Ness-Jensen E, Hviem K, El-Serag H, et al. Lifestyle intervention in Gastroesophageal reflux disease. Clin Gastroenterol Hepatol. 2016; 14(2): 175-82. doi: 10.1016/j.cgh.2015.04.176.
17. Kahriias PJ, Gupta RR. Mechanisms of acid reflux associated with cigarette smoking. Gut. 1990; 31(1): 4-10. doi: 10.1136/gut.31.1.4.
18. Vitale GC, Cheadle WG, Patel B, et al. The effect of alcohol on nocturnal gastroesophageal reflux. JAMA. 1987; 258(15): 2077-9.
19. Thomas FB, Steinbaugh JT, Fromker JJ, et al. Inhibitory effect of coffee on lower esophageal sphincter pressure. Gastroenterology. 1980; 79(6): 1262-6.

Published

2021-03-24

How to Cite

1.
Santayakorn K, Tanprasert S. Prevalence and Factors Associated with Laryngopharyngeal Reflux (LPR) among Patients Diagnosed with GERD in Samphran Hospital, Nakhon Pathom. Reg 4-5 Med J [internet]. 2021 Mar. 24 [cited 2025 Dec. 30];40(1). available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/250067