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21.
Short-Term Therapeutic Trial of Proton Pump Inhibitors in Suspected Extraesophageal Reflux 总被引:4,自引:0,他引:4
Walter Habermann MD PhD Karl Kiesler Andreas Eherer Gerhard Friedrich 《Journal of voice》2002,16(3):425-432
Pharyngoesophageal gastric acid reflux is thought to initiate chronic posterior laryngitis. The gold standard for measuring gastric reflux is dual-channel 24-hour pH monitoring. This is a time-consuming, inconvenient, expensive method that is not available in all areas. New therapeutic regimes that make use of proton pump inhibitors (PPIs) have proven to be therapeutically efficient for control of acid reflux. Twenty-four consecutive patients with chronic voice disorders and signs of posterior laryngitis were selected for therapy. Twenty-four hour pH monitoring was performed independently before the therapy. The trial therapy consisted of all patients receiving pantoprazole, 40 mg once daily for 6 weeks. Immediately following the therapy a statistically significant (p < 0.05) improvement was observed in all patients. This improvement was analyzed retrospectively by comparison with the results of 24-hour pH monitoring. In 71% of the patients the 24-hour pH-monitoring gave a positive result showing a high number of patients with extraesophageal reflux in our study group. Patients with positive results of pH-monitoring responded in a statistically significant manner (p < 0.05) to the pantoprazole therapy, whereas those patients without detected reflux did not. A 3-month follow-up of the patients with a positive result of the pH-monitoring confirmed the improvement. No patients reported adverse effects. A 6-week treatment with pantoprazole can be clinically justified. It helps to save time and reduce costs, allows for selection of reflux-negative patients for alternative therapy, and may prevent inadequate treatment of patients with false-negative pH monitoring. Twenty-four hour pH monitoring is still recommended for patients unresponsive to this trial therapy. 相似文献
22.
Two cases of bilateral vocal fold immobility (VFI) after identification and preservation of the recurrent laryngeal nerves (RLNs) required tracheotomy until vocal fold recovery. The first patient underwent thyroid surgery without preoperative or postoperative evaluation of the vocal folds, administration of postoperative intravenous steroids, or electrophysiologic monitoring of the RLNs, whereas the second patient underwent a thyroid procedure in which all of the aforementioned were executed. Preoperative and postoperative clinical evaluation of the RLNs is strongly suggested in patients undergoing thyroid surgery, especially revision surgery. Patients potentially undergoing total thyroidectomy should be counseled about the remote chance of airway obstruction and should be properly selected for this operation. Subclinical stretching of the RLNs or ischemia from the endotracheal tube cuff can result in unilateral VFI, and rarely bilateral VFI, requiring reintubation, tracheotomy, or vocal fold lateralization. Electrophysiologic monitoring may not always predict bilateral VFI. 相似文献
23.
Alexander J Artuso M Bebek C Berkelman K Browder T Cassel DG Cheu E Coffman DM Crawford G DeWire JW Drell PS Ehrlich R Galik RS Gittelman B Gray SW Halling AM Hartill DL Heltsley BK Kandaswamy J Katayama N Kreinick DL Lewis JD Ludwig GS Mistry NB Mueller J Nandi S Nordberg E O'Grady C Peterson D Pisharody M Riley D Sapper M Selen M Silverman A Stone S Worden H Worris M Sadoff AJ Avery P Besson D Garren L Yelton J Bowcock T Kinoshita K Pipkin FM Procario M Wilson R Wolinski J Xiao D Zhu Y 《Physical review letters》1990,65(13):1531-1534
24.
Alam MS Katayama N Kim IJ Li WC Lou XC Sun CR Bortoletto D Goldberg M Horwitz N Mestayer MD Moneti GC Sharma V Shipsey IP Skwarnicki T Csorna SE Letson T Brock IC Ferguson T Artuso M Bebek C Berkelman K Blucher E Byrd J Cassel DG Cheu E Coffman DM Crawford G DeSalvo R DeWire JW Drell PS Ehrlich R Galik RS Gittelman B Gray SW Halling AM Hartill DL Heltsley BK Kandaswamy J Kowalewski R Kreinick DL Kubota Y Lewis JD Mistry NB Mueller J Namjoshi R Nandi S Nordberg E O'Grady C Peterson D Pisharody M 《Physical review D: Particles and fields》1989,40(3):712-720
25.
Csorna SE Mestayer MD Panvini RS Word GB Yi X Bean A Bobbink GJ Brock I Engler A Ferguson T Kraemer R Rippich C Sutton R Vogel H Bebek C Berkelman K Blucher E Cassel DG Copie T DeSalvo R DeWire JW Ehrlich R Galik RS Gilchriese MG Gittelman B Gray SW Halling AM Hartill DL Heltsley BK Holzner S Ito M Kandaswamy J Kowalewski R Kreinick DL Kubota Y Mistry NB Mueller J Nordberg E Ogg M Peterson D Perticone D Pisharody M Read K Riley D Silverman A Stein PC Stone S Sadoff AJ Avery P Besson D Bowcock T 《Physical review letters》1986,56(12):1222-1225
26.
Bebek C Berkelman K Blucher E Cassel DG Copie T DeSalvo R DeWire JW Ehrlich R Galik RS Gilchriese MG Gittelman B Gray SW Halling AM Hartill DL Heltsley BK Holzner S Ito M Kandaswamy J Kowalewski R Kreinick DL Kubota Y Mistry NB Mueller J Nordberg E Ogg M Peterson D Perticone D Pisharody M Read K Riley D Silverman A Stein PC Stone S Sadoff AJ Avery P Besson D Bowcock T Giles RT Hassard J Kinoshita K Pipkin FM Wilson R Haas P Hempstead M Jensen T Kagan H Kass R Behrends S Gentile T Guida JM 《Physical review letters》1986,56(18):1893-1896
27.
Bean A Bobbink GJ Brock IC Engler A Ferguson T Kraemer RW Rippich C Vogel H Bebek C Berkelman K Blucher E Cassel DG Copie T DeSalvo R DeWire JW Ehrlich R Galik RS Gilchriese MG Gittelman B Gray SW Halling AM Hartill DL Heltsley BK Holzner S Ito M Kandaswamy J Kowalewski R Kreinick DL Kubota Y Mistry NB Mueller J Namjoshi R Nordberg E Ogg M Perticone D Peterson D Pisharody M Read K Riley D Silverman A Stone S Yi X Sadoff AJ Avery P Besson D Bowcock T Giles RT Hassard J Kinoshita K Pipkin FM 《Physical review letters》1987,58(3):183-186
28.
Csorna SE Garren L Mestayer MD Panvini RS Yi X Alam MS Avery P Bebek C Berkelman K Cassel DG Copie T DeSalvo R DeWire JW Ehrlich R Ferguson T Galik R Gilchriese MG Gittelman B Halling M Hartill DL Holzner S Ito M Kadaswamy J Kreinick DL Kubota Y Mistry NB Nordberg E Ogg M Peterson D Perticone D Read K Silverman A Stein PC Stone S Kezun X Sadoff AJ Giles RT Hassard J Hempstead M Kinoshita K McKay WW Pipkin FM Wilson R Haas P Jensen T Kagan H Kass R Behrends S Gentile T Guida JM Guida JA Morrow F 《Physical review letters》1985,54(17):1894-1897
29.
Stability and convergence of the spectral Lagrange-Galerkin method for mixed periodic/non-periodic convection-dominated diffusion problems 总被引:1,自引:0,他引:1
We present a convergence analysis of the spectral Lagrange-Galerkinmethod for mixed periodic/non-periodic convection-diffusionproblems. The scheme is unconditionally stable, independentof the diffusion coefficient, even in the case when numericalquadrature is used. The theoretical predictions are illustratedby a series of numerical experiments. For the periodic case,our results present a significant improvement on those givenby Süli & Ware (1991) SIAM J. Numer.Anal.28, 423-445). 相似文献
30.
Large sample tests of significance for the location parameter, the scale parameter, and quantiles for a location-scale family of distributions based on a few optimally chosen sample quantiles are considered. 相似文献