Wysokie BMI jako czynnik ryzyka krtaniowej manifestacji choroby refluksowej przełyku – rola laryngografi

Abstract

Aim: The aim of this study was to prove the role of high BMI as the risk factor of laryngeal manifestation of esophageal reflux disease with acknowledgement of innovative and non-invasive forms of diagnostics of reflux disease on example of laryngography.Material and method: From January to March 2017 thirty two patients with diagnosed GERD and extralaryngeal symptoms were chosen in the Second Department of General Surgery UJ CM. Patients were referred to Otolaryngology Department and Clinic UJ CM to extend the diagnostics towards laryngopharyngeal reflux LPR. On basis of calculated BMI and laryngological examinations results 20 patients with LRP symptoms and BMI >24,9 were chosen. The patients were then referred to the Pedagogical University of Cracow for laryngographic examination and statistical analysis. After the laryngographic examination patients were qualified for conventional pharmacotherapy or surgery. After the 3rd part of study each patient was ordered to abide to antireflux diet and increase previous physical activity. After 6 weeks since the end of the treatment control examinations were made at Otolaryngology Department and Clinic UJ CM (laryngological and videostroboscopic examinations) and Pedagogical University of Cracow (laryngographic examination).Results: Laryngographic examination revealed increased SDFx and SDQx. The increase in these quantities shows the larynx dysfunction and higher exacerbation of GERD/LPR. In control examinations 6 weeks after the end of study the improvement of function of larynx was observed by the decrease of SDFx and SDQx. The videolaryngostroboscopic examination showed the decrease of laryngeal mucositis symptoms in comparison with laryngeal picture before the treatment.Conclusions: The study showed that high BMI is a risk factor of laryngeal manifestation of esophageal reflux disease LPR. The laryngography was confirmed as effective and non-invasive form of vocal folds functions diagnostics.