The Role of Proton Pump Inhibitors in Reducing Laryngeal Injury During Prolonged Intubation

2009 ◽  
Vol 119 (S3) ◽  
pp. S264-S264
Author(s):  
Brad W. deSilva ◽  
Michael D. Trudeau ◽  
L. Arick Forrest
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
S. Kortequee ◽  
P. D. Karkos ◽  
H. Atkinson ◽  
N. Sethi ◽  
D. C. Sylvester ◽  
...  

Globus pharyngeus is a common ENT condition. This paper reviews the current evidence on globus and gives a rational guide to the management of patients with globus. The aetiology of globus is still unclear though most ENT surgeons believe that reflux whether acidic or not plays a significant role. Though proton pump inhibitors are used extensively in practice, there is little evidence to support their efficacy. Most patients with globus can be discharged after simple office investigations. The role of pepsin-induced laryngeal injury is an exciting concept that needs further study. Given the benign nature of globus pharyngeus, in most cases, reassurance rather than treatment or extensive investigation with rigid oesophagoscopy or contrast swallows is all that is needed. We need more research into the aetiology of globus.


2021 ◽  
Vol 22 (24) ◽  
pp. 13609
Author(s):  
Lucas Wauters ◽  
Raúl Y. Tito ◽  
Matthias Ceulemans ◽  
Maarten Lambaerts ◽  
Alison Accarie ◽  
...  

Proton pump inhibitors (PPI) may improve symptoms in functional dyspepsia (FD) through duodenal eosinophil-reducing effects. However, the contribution of the microbiome to FD symptoms and its interaction with PPI remains elusive. Aseptic duodenal brushings and biopsies were performed before and after PPI intake (4 weeks Pantoprazole 40 mg daily, FD-starters and controls) or withdrawal (2 months, FD-stoppers) for 16S-rRNA sequencing. Between- and within-group changes in genera or diversity and associations with symptoms or duodenal factors were analyzed. In total, 30 controls, 28 FD-starters and 19 FD-stoppers were followed. Mucus-associated Porphyromonas was lower in FD-starters vs. controls and correlated with symptoms in FD and duodenal eosinophils in both groups, while Streptococcus correlated with eosinophils in controls. Although clinical and eosinophil-reducing effects of PPI therapy were unrelated to microbiota changes in FD-starters, increased Streptococcus was associated with duodenal PPI effects in controls and remained higher despite withdrawal of long-term PPI therapy in FD-stoppers. Thus, duodenal microbiome analysis demonstrated differential mucus-associated genera, with a potential role of Porphyromonas in FD pathophysiology. While beneficial effects of short-term PPI therapy were not associated with microbial changes in FD-starters, increased Streptococcus and its association with PPIeffects in controls suggest a role for duodenal dysbiosis after long-term PPI therapy.


Medicine ◽  
2016 ◽  
Vol 95 (33) ◽  
pp. e4351 ◽  
Author(s):  
Liuqin Jiang ◽  
Bixing Ye ◽  
Lin Lin ◽  
Ying Wang ◽  
Meifeng Wang

Author(s):  
Richard A. Schatz ◽  
Phillip P. Toskes

Case History—A 78 yr old woman presenting with a five-year history of diarrhoea. Updates Pathogenesis—discussion of the possible role of proton pump inhibitors. Diagnosis—comparison of lactulose hydrogen, glucose hydrogen, and 14C D-xylose breath tests; preliminary studies of circulating CdtB antibodies as a diagnostic tool....


2013 ◽  
Vol 45 ◽  
pp. S118-S119
Author(s):  
M. Franceschi ◽  
D. Seripa ◽  
P. Giulia ◽  
S. Bazzano ◽  
C. Gravina ◽  
...  

2011 ◽  
Vol 33 (1) ◽  
pp. 120-123 ◽  
Author(s):  
Bryce A Kiberd ◽  
Michelle Wrobel ◽  
Raymond Dandavino ◽  
Paul Keown ◽  
Sita Gourishankar

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