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The Approach to a Patient with Suspected Laryngopharyngeal Reflux Disease (LPRD)

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Abstract

Laryngopharyngeal reflux disease (LPR) refers to the symptomatic manifestation of tissue injury that is caused when gastric contents are refluxed retrograde above the level of the upper esophageal sphincter. LPR symptoms can be variable and may include throat symptoms, voice changes, and even disordered swallowing. In addition, LPR symptoms often overlap with other conditions such as other laryngeal pathologies, allergies, and pulmonary disease. This can pose both a diagnostic and therapeutic challenge. In this chapter, we discuss the many ways that LPR may manifest clinically, as well as the common clinical mimickers that should be considered when evaluating a patient with LPR-like symptoms. We then present an overview of the different strategies that are currently available to diagnose LPR – from symptom questionnaires to sophisticated measurement of gastric refluxate – and the relative merits of each. The goal of this chapter is to equip the reader with the knowledge necessary to confidently evaluate the patient with suspected LPR and choose a diagnostic modality that is appropriate for each situation.

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Authors and Affiliations

  1. Division of Gastroenterology, Brigham and Women’s Hospital, Boston, MA, USA

    Lawrence Borges

  2. Harvard Medical School, Boston, MA, USA

    Lawrence Borges & Thomas L. Carroll

  3. Division of Otolaryngology, Brigham and Women’s Hospital, Boston, MA, USA

    Thomas L. Carroll

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  1. Lawrence Borges
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Correspondence to Thomas L. Carroll .

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Editors and Affiliations

  1. Division of Otolaryngology-Head & Neck Surgery, University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, USA

    Nausheen Jamal

  2. Department of Head and Neck Surgery, UCLA David Geffen School of Medicine, Los Angeles, CA, USA

    Marilene B. Wang

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Borges, L., Carroll, T.L. (2019). The Approach to a Patient with Suspected Laryngopharyngeal Reflux Disease (LPRD). In: Jamal, N., Wang, M. (eds) Laryngopharyngeal Reflux Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-12318-5_2

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