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KMID : 0602819960020010088
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Korean Journal of Bronchoesophagology
1996 Volume.2 No. 1 p.88 ~ p.96
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The Relationship between Esophageal Manometry and 24 Hour Double Prove PH-metry
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김선태.
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Abstract
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In recently the gastroesophageal feflux disease(GERD) has been known toinduce the
otolaryngologic manifestations. Pharyngeal neurosis is a disease which we could have not
found the cause frequently.
So we have studied the relation between the pharyngeal neurosis and the GERD among 50
patients who were diagnosed as pharyngeal neurosis after esophagogram and laryngoscopic
examination. We performed esophageal manometry and 24hour double-probe pH-metry and
then compared with cnormal control group(n=30).
@ES The results are as follows
@EN 1. Among 50 patients, 12(24%) patients were diagnosed as GERD by DeMeester
scoring.
2. In esophageal manometry, the upper and lower and lwer esophageal sphincter between the
patients and the control group have no sinificant difference(p>0.05) and 9 among 50 patients
showed abnormal peristaltic movement in esophageal body contraction.
3. In 24hour doble-probe pH-metry, the esophageal probe showed thad in GERD group(n=12)
the number of reflux episode, episodes greater than 5 minutes and the percentage of
timeor control group(p<0.05). But the pharyngeal probe showed that in GERD
group(n=12)thepercentage of time pH<4, total reflux episode number were significantly
increased than control group(p<0.05) especially in upright position than supine position.
4. Among 12 GERD patients, 5 patients showed that the pharyngeal pH dropped below pH4
following the esophgeal pH dropped pH>4.
We found that the pharyngeal neurosis may partly from the laryugopharyugeal sysmptom
from the gastroesophageal reflux and we need more data and investigate the other
laryngopharyngeal reflux disease by using 24hour double-probe pH-metry.
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KEYWORD
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