인후두역류증이 의심되는 환자에서 비디오투시법의 역할

Backgrounds and Objectives: The aim of this study was to investigate the value of videofluoroscopy (VF) in patients with laryngopharyngeal reflux (LPR) suspected on the basis of reflux symptom index (RSI) and reflux finding score (RFS). Materials and Methods: The patients with RSI > 13 and RFS >7 were enrolled. The VF was conducted in all patients, who were divided into the reflux and the no reflux group. Proton pump inhibitor (PPI) was prescribed to all patients for more than 8 weeks. Results: Sixty-six patients were followed for 8 weeks. On VF, 32 patients (48.5%) had reflux and 34 patients had no reflux. The two groups showed no significant differences in demographic data, baseline characteristics, the mean changes in RSI and RFS after treatment. There was no correlation between the presence or absence of reflux and the effectiveness of PPI treatment. Conclusions: Among our patient population, a subgroup including about half of the patients was found to have reflux on VF. Therefore, at least in this subgroup, VF may have a role to support the diagnosis of the patients with suspected LPR. (J Clinical Otolaryngol 2014;25:163–168)