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KMID : 0390220050160020253
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2005 Volume.16 No. 2 p.253 ~ p.257
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The Relationships between Gastroesophageal Reflux and Globus Pharyngeus
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Eom Jae-Wook
Han Tae-Hee
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Abstract
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Background and Objectives :Globus pharyngeus is a choking sensation, as of a lump in the throat. Although
otolaryngolosists are often confronted with this condition, they still do not complete understand the etiologies
of globus pharyngeus. Recently reserchers have come to believe that gastroesophageal reflux (GER) are the
most important etiologic factor causing globus pharyngeus. In an attempt to verify this current belief, the
authors performed a prospective study in patient who complained of globus sensation in the throat. Materials
and Method :All 30 patients with globus symptoms met the Rome II criteria. They underwent telelaryngoscopy,
gastroesophagoscopy and ambulatory 24 hr pH monitoring. Result : GER was diagnosed in 20% of the
tested patient. On telelaryngoscope, Reflux finding score (RFS) was 2.83 in GER patients and 4.0 in non-GER
patients. On gastroesophagoscope, the number of patients were decreased along the LA Classification grade.
On ambulatory 24 hr pH monitoring, the number of patients were decreased along the %time. These results
consequently suggest globus pharyngeus dose not correlate with GER. Conclusion :In contrast to the current
belief, GER should be regarded as just one of the possible etiologic factor, and it is necessary to evaluate the
further etiologic factors.
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KEYWORD
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Gastroesophageal reflux, Globus pharyngeus
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