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Tetra-probe, 24-hour pH monitoring for laryngopharyngeal reflux: a technique for simultaneous study of hypopharynx, oesophagus and stomach

Published online by Cambridge University Press:  22 May 2009

K Sato ,
H Umeno ,
S Chitose  and
T Nakashima
K Sato*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
H Umeno
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
S Chitose
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
T Nakashima
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
*
Address for correspondence: Dr Kiminori Sato, Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. Fax: +81 942 37 1200 E-mail: kimisato@oct-net.ne.jp
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Abstract

Objective:

This study aimed to introduce the technique of tetra-probe, 24-hour pH monitoring for laryngopharyngeal reflux disease.

Methods:

Tetra-probe, 24-hour pH monitoring was performed for 30 suspected cases of laryngopharyngeal reflux. The proximal probe was placed in the hypopharynx, just above the upper oesophageal sphincter, the second probe was placed in the middle oesophagus, the third probe was placed a few centimetres above the lower oesophageal sphincter, and the distal probe was placed in the stomach.

Results:

As the pH at the four sensor sites could be monitored simultaneously, gastric acid levels and gastroesophageal and laryngopharyngeal reflux could be examined. This pH monitoring technique enabled the pH relationship between the four sensor locations to be well documented, enabling gastric acid levels and patterns of reflux to be assessed. This procedure was also able to be used as a functional examination to evaluate anti-reflux medication efficacy.

Conclusions:

Tetra-probe, 24-hour pH monitoring is a reliable functional examination for laryngopharyngeal reflux.

Keywords

Tetra-probepH MonitoringLaryngopharyngeal Reflux DiseaseGERD
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 123 , Supplement S31 , May 2009 , pp. 117 - 122
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

Presented at the Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery, 19–22 September 2004, New York, New York, USA.

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