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Lung Function in Patients with Gastro-Esophageal Reflux Disease and Respiratory Symptoms

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Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 788))

Abstract

The aim of this study was to investigate lung function in patients with gastro-esophageal reflux disease (GERD) who present respiratory symptoms suggestive of the possibility of co-morbid asthma. The study encompassed 20 patients (9 women and 11 men; age range from 11 to 68 years) diagnosed with GERD and presenting with chronic cough and other non-specific periodic respiratory complaints. The control group consisted of closely gender and age-matched 20 subjects without any gastrointestinal or respiratory symptoms. All patients and control subjects were tested for lung function, which encompassed spirometric and flow-volume variables. We found that none of the GERD patients had lung function abnormalities characteristic of asthma. There were, however, decreases in forced expired volume in 1 s, forced vital capacity, and in maximal instantaneous forced expiratory flows in the GERD patients compared with the healthy subjects. We conclude that cough accompanying GERD is unlikely to be associated with the presence of co-morbid asthma, but rather suggests a mild airway inflammation developing as a sequel of GERD. The corollary is that chronic cough should prompt physician’s attention to consider diagnostic work-up toward the possibility of GERD.

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References

  • Boguradzka, A., Tarnowski, W., & Mazurczak-Pluta, T. (2006). Gastro-esophageal reflux disease in hazardous drinkers. Polski Merkuriusz Lekarski, 121, 99–103.

    Google Scholar 

  • D’Urbano, J. (2012). Asthma and GERD. Which came first, the chicken or the egg? BreathSounds, http://www.breathsounds.org. Accessed 15 Sept 2012.

  • Donnelly, R. J., Berrisford, R. G., Jack, C. I. A., Tran, J. A., & Evans, C. C. (1993). Simultaneus tracheal and esophageal pH monitoring: Investigating reflux-associated asthma. The Annals of Thoracic Surgery, 56, 1029–1034.

    Article  PubMed  CAS  Google Scholar 

  • Gaude, G. S., & Karanji, J. (2012). Gastro-esophageal reflux disease in bronchial asthma – Is there an association? International Journal of Basic and Applied Medical Sciences, 2(1), 179–190.

    Google Scholar 

  • Gustafsson, P. M., Kjellman, N.-I. M., & Tibbling, L. (1990). Bronchial asthma and acid reflux into the distal and proximal oesophagus. Archives of Disease in Childhood, 65, 1255–1258.

    Article  PubMed  CAS  Google Scholar 

  • Irwin, R. S., French, C. L., Curley, F. J., Zawacki, J. K., & Bennett, F. M. (1993). Chronic cough due to gastro-esophageal reflux. Clinical, diagnostic, and pathogenic aspects. Chest, 104(5), 1511–1517.

    Article  PubMed  CAS  Google Scholar 

  • Jack, C. I., Calverley, P. M., Donnelly, R. J., Tran, J., Russell, G., Hind, C. R., & Evans, C. C. (1995). Simultaneous tracheal and oesophageal pH measurements in asthmatic patients with gastro-oesophageal reflux. Thorax, 50(2), 201–204.

    Article  PubMed  CAS  Google Scholar 

  • Kling, S. (2012). Gastro-oesophageal reflux and asthma in children – Comorbidity or coincidence?: Review article. Current Allergy and Clinical Immunology, 25(2), 78–80.

    Google Scholar 

  • Lomasney, T. L. (1977). Hiatus hernia and the respiratory tract. The Annals of Thoracic Surgery, 24, 448–450.

    Article  PubMed  CAS  Google Scholar 

  • Michoud, M. C., Leduc, T., & Proulx, F. (1991). Effect of salbutamol on gastro-esophageal reflux in healthy volunteers and patients with asthma. The Journal of Allergy and Clinical Immunology, 87(5), 762–767.

    Article  PubMed  CAS  Google Scholar 

  • Ownby, D. R., Johnson, C. C., & Peterson, E. L. (2002). Exposure to dogs and cats in the first year of life and risk of allergic sensitization at 6 to 7 years of age. The Journal of the American Medical Association, 288, 963–972.

    Article  Google Scholar 

  • Pirogowicz, I., Rudnicki, J., & Bujanowska-Fedak, M. M. (2010). Observations of asthma course in patients with gastro-oesophageal reflux. Family Medicine and Primary Care Review, 3, 785–787.

    Google Scholar 

  • Quanjer, P. H., Tammeling, G. J., Cotes, J. E., Pedersen, O. F., Peslin, R., & Yernault, J. C. (1993). Lung volumes and forced ventilatory flows. Report working party: Standardization of lung function tests. European community for steel and coal. Official statement of the European respiratory society. The European Respiratory Journal, 16, 5–40.

    PubMed  CAS  Google Scholar 

  • Sontag, S., O’Connell, S., Khandelwal, S., Miller, T., Nemchausky, B., Schnell, T. G., & Serlovsky, R. (1990). Most asthmatics have gastro-esophageal reflux with or without bronchodilator therapy. Gastroenterology, 99, 613–620.

    PubMed  CAS  Google Scholar 

  • Tuchman, D. N., Boyle, J. T., Pack, A. I., Scwartz, J., Kokonos, M., Spitzer, A. R., & Cohen, S. (1984). Comparison of airway responses following tracheal or esophageal acidification in the cat. Gastroenterology, 87, 872–881.

    PubMed  CAS  Google Scholar 

  • Zerbib, F., Guisset, O., Lamouliatte, H., Quinton, A., Galmiche, J. P., & Tunon-De-Lara, J. M. (2002). Effects of bronchial obstruction on lower esophageal sphincter motility and gastro-esophageal reflux in patients with asthma. American Journal of Respiratory and Critical Care Medicine, 166, 1206–1211.

    Article  PubMed  Google Scholar 

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The authors declare no conflicts of interest in relation to this article.

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Correspondence to Mieczyslaw Pokorski .

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Pirogowicz, I., Patyk, M., Popecki, P., Rudnicki, J., Gojny, L., Pokorski, M. (2013). Lung Function in Patients with Gastro-Esophageal Reflux Disease and Respiratory Symptoms. In: Pokorski, M. (eds) Neurobiology of Respiration. Advances in Experimental Medicine and Biology, vol 788. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6627-3_24

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