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Reflux Aspiration and Lung Disease

  • The first comprehensive overview of reflux in relation to respiratory disease

  • Provides easy cross reference of diagnosis and therapy aiding patient management

  • Mechanism of reflux related to airways disease are explored in depth

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Table of contents (28 chapters)

  1. Front Matter

    Pages i-xix
  2. Pathology

    1. Front Matter

      Pages 1-1
    2. Diagnostic Confusion Through the Ages

      • Alyn H. Morice
      Pages 3-8
    3. Chemical Composition of Refluxate

      • Iain A. Brownlee
      Pages 29-39
    4. Pathological Processes

      • Jeffrey P. Pearson, Adil Aldhahrani, Peter I. Chater, Matthew D. Wilcox
      Pages 41-53
    5. Pathophysiology in the Lung

      • Chris Ward, Rhys Jones, Mellissa Friel, Eoin Hunt, Des Murphy
      Pages 55-69
  3. Diagnosis

    1. Front Matter

      Pages 79-79
    2. Questionnaire Diagnosis of Airways Reflux

      • Shoaib Faruqi
      Pages 81-90
    3. Pepsin Detection as a Diagnostic Test for Reflux Disease

      • Peter W. Dettmar, Rhianna K. Lenham, Adrian J. Parkinson, Andrew D. Woodcock
      Pages 91-104
    4. Imaging Reflux

      • Luca Marciani
      Pages 105-114
    5. Cough Monitoring in Reflux Lung Disease

      • Aakash K. Pandya, Joanne E. Kavanagh, Surinder S. Birring
      Pages 125-133
  4. Reflux Aspiration in Specific Lung Diseases

    1. Front Matter

      Pages 135-135
    2. Gastroesophageal Reflux Disease (GERD) and COPD

      • Nabid Zaer, John R. Hurst
      Pages 165-174
    3. Gastro Oesophageal Reflux and Bronchiectasis

      • Kirsty L. Hett, Ben Hope-Gill
      Pages 175-186
    4. Reflux Aspiration and Cystic Fibrosis

      • Ans Pauwels
      Pages 187-194
    5. Gastroesophageal Reflux and Idiopathic Pulmonary Fibrosis

      • Lawrence A. Ho, Ganesh Raghu
      Pages 195-204

About this book

Reflux is an important factor in many different lung diseases and its manifestations are under recognised. The pathological basis of reflux has recently undergone major changes and clinicians' understanding has improved  with diagnostic technology. This book aims to educate and inform professionals of these latest developments and give practical advice to their application in the clinical setting. It contains contributions written by world experts discussing their latest research, ideas and future directions in this fast moving area. Pharmacological, surgical and behavioural techniques in the prevention and treatment of reflux are discussed in each chapter. Special circumstances, such as eosinophilic inflammation in relation to asthma, cough and eosinophilic bronchitis are also highlighted. This book brings together the various different strands of research in reflux in relation to airways disease, to provide readers with a board summary of how the different but overlapping areas impacted by reflux affect the respiratory tract.

Editors and Affiliations

  • University of Hull, Hull York Medical School, Cottingham, East Yorkshire, United Kingdom

    Alyn H. Morice

  • Castle Hill Hospital, RD Biomed Limited, Cottingham, East Yorkshire, United Kingdom

    Peter W. Dettmar

About the editors

Professor Alyn Morice was trained at Cambridge University with the clinical attachment at St George’s Hospital, London.  Having obtained his MRCP, he undertook research in asthma at St Mary’s Hospital, London studying the clinical pharmacology of airway nerves.  During this time, a patient presented with an unexplained cough which was the first observation of ACE inhibitor cough and subsequently led to the demonstration of the Cough Hypersensitivity Syndrome in a Lancet paper of 1987.  Professor Morice was then appointed Lecturer in Clinical Pharmacology at Cambridge University and started a lifelong interest in cough challenge and its role in dissecting the physiology of airway nerves.  Appointed as Senior Lecturer and then Reader at the University of Sheffield, Professor Morice continued to study both the in vitro and in vivo pharmacology of the airway and pulmonary nerves.  He founded the first dedicated Cough Clinic in the United Kingdom, which continues to see over 400 new patients per annum and has a national referral pattern. 

Professor Morice moved to Hull in 1998 to take up the Foundation Chair in Respiratory Medicine.  The aetiology of chronic cough was established by the development of the Hull Airways Reflux Questionnaire; a validated instrument demonstrating that cough hypersensitivity is usually caused by aspiration of gaseous non acid reflux.  The technique of high resolution oesophageal manometry has revolutionised our understanding of the pathophysiology basis of airway reflux. 

No less than five new drugs are currently in development and being studied in our Clinical Trials Unit.  The importance of reflux, aspiration and lung disease has reached a zenith.  




Professor Peter Dettmar
is the former global Research and Development Director - Gastrointestinals for Reckitt Benckiser Healthcare (UK) Limited with extensive experience in running product development programs and clinical trials and over thirty five years’ experience of the pharmaceutical industry.  He has an Honorary Professorship  with the School of Pharmaceutical Sciences University of Nottingham, UK, and was Adjunct Professor and Director of Research at the Centre for Voice and Swallowing Disorders, Department of Otolaryngology, Wake Forest University Baptist Medical Centre, Winston-Salem, USA. He has a PhD. in pharmacology from the University of Bradford, UK and is a named inventor on over 40 patents, has supervised more than 70 successful PhD. studentships and has authored or co-authored over 530 scientific publications. He has a special interest in reflux disease, pepsin, bile acids, mucosal protection, salivary mucins, bioadhesion, H. pylori, nutrition, dietary fibres/functional foods, Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), polymers/biopolymers, cell biology and has established international research and clinical networks that are core to research in these areas. He has organised national and international conferences and workshops including a series of meetings on reflux disease and symposia on human pepsin and gives numerous national and international lectures. He has established and is the Managing Director of Technostics Limited and RD Biomed Limited two innovative pharmaceutical development and diagnostic companies based at Castle Hill Hospital in Cottingham , East Yorkshire, UK.

Bibliographic Information

  • Book Title: Reflux Aspiration and Lung Disease

  • Editors: Alyn H. Morice, Peter W. Dettmar

  • DOI: https://doi.org/10.1007/978-3-319-90525-9

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing AG, part of Springer Nature 2018

  • Hardcover ISBN: 978-3-319-90523-5Published: 17 July 2018

  • Softcover ISBN: 978-3-030-08035-8Published: 21 December 2018

  • eBook ISBN: 978-3-319-90525-9Published: 04 July 2018

  • Edition Number: 1

  • Number of Pages: XIX, 370

  • Number of Illustrations: 23 b/w illustrations, 43 illustrations in colour

  • Topics: Pneumology/Respiratory System, Gastroenterology, Pharmacoeconomics and Health Outcomes

  • Industry Sectors: Biotechnology, Health & Hospitals

Buy it now

Buying options

eBook USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access