Clinical correlations between chronic pharyngitis and acid-dependent pathology of the gastrointestinal tract in childhood
https://doi.org/10.21518/2079-701X-2013-2-3-50-55
Abstract
Recently, doctors of various specialities have been focusing on the problem of gastroesophageal reflux disease (GERD), including its extraesophageal manifestations. GERD can cause recurrent rhinosinusitis, exudative otitis media and pharyngitis which cannot be treated with routine methods. Based on our data, the role of acid-dependent pathology in the pathogenesis of chronic pharyngitis seems undeniable: chronic diseases of the pharynx are found in 58,2% of children suffering from GERD. At the same time, comorbid ENT pathology mainly develops in patients with extraesophageal manifestatoins of GERD, i.e., it is probably conditioned by the penetration of acid refluxate past the common area. This of course should be taken into account when assigning complex treatment which includes not only antireflux but also local elimination and anti-inflammatory therapy.
Keywords
хронический фарингит,
дисфония,
ГЭРБ,
лечение,
детский возраст,
chronic pharyngitis,
dysphonia,
GERD,
treatment,
childhood
About the Authors
Yu. L. Soldatskiy
Morozov Children's City Clinical Hospital, Moscow Healthcare Department
Russian Federation
Russian Federation
I. E. Pogosova
RDE research team at the department of ear, throat and nose diseases, First Moscow State Medical University named after I.M.Sechenov, Russia’s Ministry of Health
Russian Federation
Russian Federation
T. G. Zaviktorina
Children's Hospital of St. Vladimir, Moscow Healthcare Department
Russian Federation
Russian Federation
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For citations:
Soldatskiy YL, Pogosova IE, Zaviktorina TG. Clinical correlations between chronic pharyngitis and acid-dependent pathology of the gastrointestinal tract in childhood. Meditsinskiy sovet = Medical Council. 2013;(2-3):50-55. (In Russ.) https://doi.org/10.21518/2079-701X-2013-2-3-50-55
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