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Incidence of Posterior Laryngeal Erythema and Edema in Patients Undergoing Upper
GI Endoscopy (EGD)
MOHAMMAD FARIVAR and JAMES
KOLTON, DEPT of MEDICINE and DEPT of PATHOLOGY,
NORWOOD HOSPITAL, NORWOOD, MA
Posterior vocal cord erythema and intra-arytenoid erythema and edema (mild
reflux laryngitis [RL]) is common in patients Undergoing EGD. In 176 consecutive
EGD patients, the larynx was carefully observed (LEGD) for the presence of
RL. In addition, in all patients, 4 endoscopic biopsies were taken 2-4 cm from
the gastroesophageal junction to look for microscopic evidence of chronic esophagitis.
Of the 176 patients, 70 were male (average age 54), 106 were female (average
age 49). 32 smoked tobacco, 18 consumed ethanol and 5 had atopic allergic disorders.
Results: 136 (77%) patients had some degree of RL. Among them only 15 (11%)
had ENT symptoms (chronic hoarseness, sore throat, cervical pain with swallowing,
lump in the throat, or persistent dry cough). In 18 total patients with mainly
ENT symptoms, EGD was positive (grade I-III erosive esophagitis) in 3 (17%)
and RL was found in 15 (83%). Among these 18 patients, one used tobacco, one
consumed ethanol and non had allergies.
Conclusions: 1) The majority of patients with endoscopic evidence of RL are
asymptomatic; 2) Endoscopic yield of erosive esophagitis is low in patients
with ENT symptoms of RL; 3) Esophageal biopsies show chronic esophagitis in
most patients with RL.
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