Journal
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
Volume 123, Issue 10, Pages 719-725Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0003489414534011
Keywords
gastroesophageal reflux; chronic cough; cough syncope; antireflux
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Objective: This study aimed to evaluate the efficacy of antireflux treatment on gastroesophageal reflux (GER)-related cough syncope. Methods: The method used was a retrospective review of the outcomes of antireflux treatment with proton pump inhibitor (PPI), Stretta radiofrequency (SRF), or laparoscopic fundoplication (LF) of 8 patients with chronic cough and cough syncope that was clinically evaluated to be GER related over a period of 2 to 5 years. Results: In the 8 selected cases, the typical GER symptoms disappeared in 7 cases and were significantly eased in I case. The chronic cough diminished to mild and occasional occurrence in 6 cases and was completely relieved in 2 cases. Meanwhile, the cough syncope disappeared in all cases. Seven of the patients resumed physical and social functions after the antireflux treatments, except for I person, who had a stroke due to other causes. Conclusion: For chronic cough and cough syncope of unknown cause, the GER assessment could be valuable. In treating well-selected GER-related chronic cough and cough syncope, PPI, SRF, and LF can be considered. Moreover, satisfactory restoration of physical and social functions could be achieved after effective antireflux therapy.
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