Usefulness of The Reflux Symptom Index in the Management of Laryngopharyngeal Reflux
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Abstract
Introduction
Laryngopharyngeal Reflux (LPR) is highly prevalent in the general population and its impact on health systems is growing dramatically by the day. The contents of the stomach flowing back into the oesophagus, pharynx and larynx because of a transient relaxation of the lower oesophageal sphincter leads to a spectrum of symptoms diagnosed as LPR and Gastroesophageal Reflux Disease (GERD). The aim was to study in detail the symptoms of LPR and to ascertain if and how they hamper the routine of an individual by using the Reflux Symptom Index (RSI).
Materials and Methods
The Reflux Symptom Index (RSI) is a self-administered nine-item outcomes instrument for LPR. Ninety-one patients with clinically diagnosed LPR were taken up for this study and were issued the RSI (translated into the local language for better results) before and after treatment. Data was assessed at the end of 3 months and 6 months.
Results
The tabulated data showed significant improvement in the symptomatic index after treatment.
Conclusion
It can thus be concluded that RSI is still highly valid in the follow-up for patients with LPR because it can be easily administered and gives accurate results with excellent validation.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Vaezi MF, Hicks DM, Abelson TI, Richter JE. Laryngeal signs and symptoms and gastroesophageal reflux disease (GERD): a critical assessment of cause and effect association. Clin Gastroenterol Hepatol. 2003 Sep; 1(5): 333-44
Patel DA, Blanco M, Vaezi MF. Laryngopharyngeal Reflux and Functional Laryngeal Disorder: Perspective and Common Practice of the General Gastroenterologist. Gastroenterology & Hepatology. 2018 Sep; 14 (9): 512-20
Ahuja V, Yencha MW, Lassen LF. Head and neck manifestations of gastroesophageal reflux disease. Am Fam Physician. 1999; 60(3): 873-80, 885-6
Koufman JA. The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 1991;101(4 pt2) (suppl 53):1-78
Merati AL, Lim HJ, Ulualp SO, Toohill RJ. Meta-analysis of upper probe measurements in normal subjects and patients with laryngopharyngeal reflux. Ann OtolRhinolLaryngol. 2005; 114(3): 177-8
Shaw MJ, Talley NJ, Beebe TJ, et al. Initial validation of a diagnostic questionnaire for gastroesophageal reflux disease. Am J Gastroenterol. 2001; 96: 52-7
Peter C. Belafsky, Gregory N. Postma, James A. Koufman. Validity and Reliability of the Reflux Symptom Index (RSI). Journal of Voice; 16(2):274-7
Belafsky PC, Postma GN, Koufman JA. Validity and Reliability of the Reflux Finding Score. Laryngoscope. 2001 Aug; 111(8): 1313-7
Koufman JA. Laryngopharyngeal Reflux is different from classic Gastroesophageal Reflux Disease. Ear, Nose, Throat Journal 2002; 81(9 Suppl 2):7-9
Belafsky PC, Postma GN, Koufman JA. Laryngopharyngeal reflux symptoms improve before changes in physical findings. Laryngoscope 2001; 111(6): 979-81
Farrokhi F, Vaezi MF. Laryngeal disorders in patients with gastroesophageal reflux disease. Minerva Gastroenterol Dietol. 2007; 53(2): 181-7
Pearson J, Parikh S, Orlando R, Johnston N, et al. Review article: reflux and its consequences—the laryngeal, pulmonary and oesophageal manifestations. In: Conference held in conjunction with the 9th international symposium on human pepsin (ISHP) Kingston-upon-Hull, UK, 21-23 April 2010, Aliment Pharmacol Ther. 33 (Suppl. 1): 1-71
Kirti YK. Reflux Finding Score (RFS) a Quantitative Guide for Diagnosis and Treatment of Laryngopharyngeal Reflux. Indian J Otolaryngol Head Neck Surg. 2018; 70(3): 362-5
Abou-Ismail A, Vaezi MF. Evaluation of patients with suspected laryngopharyngeal reflux: a practical approach. Curr Gastroenterol, Rep. 2011; 13(3):213-8
Keshavamurthy VB, Sadashivaooa YB, Harsham NK. Laryngopharyngeal Reflux: Inter-rater Reliability of Reflux Finding Score in Clinical Practice. Bengal Journal of Otolaryngology and Head Neck Surgery 2019; 27(3):186-92
Salihefendic N, Zildzic M, Cabric E. Laryngopharyngeal Reflux Disease - LPRD. Med Arch. 2017 Jun;71(3):215-218. doi: 10.5455/medarh.2017.71.215-8
Mesallam TA, Stemple JC, Sobeih TM, Elluru RG. Reflux Symptom Index versus Reflux Finding Score. Ann OtolRhinolLaryngol. 2007; 116(6):436-40
Nunes HS, Pinto JA, Zavanela AR, Cavallini AF, et al. Comparison between the Reflux Finding Score and the Reflux Symptom Index in the Practice of Otorhinolaryngology. Int Arch Otorhinolaryngol. 2016; 20(3):218-21. doi: 10.1055/s-0036-1579557.