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A belated revelation:from gastroesophageal reflux derived asthma to laryngotracheal irritation even spasm

Frontiers of Medicine 2008年第2期2卷 127-129页

作者： Zhonggao WANG Center for GER Second Artillery General HospitalClinical Research CollegeBeijing Normal UniversityBeijing 100086China Department of Cardiothoracic Vascular Surgery China Center for GERXuanwu HospitalCapital Medical UniversityBeijing 100053China

The author has been inspired by the Global Evidence-Based Consensus for gastroesophageal reflux(GER),which put forward four extra-esophageal syn-dromes:reflux cough syndrome,reflux laryngitis syn-drome,reflux dental erosion syndrome and the reflux asthma *** author himself happened to receive five emergency rescue treatments following appar-ent“bronchial asthma”,which was to be diagnosed as GER at his own *** resulted in some *** being rescued again from suffocation,he had a fun-daplication,which was performed at the Englewood Hospital&Medical Center,Englewood,USA in March *** procedure immediately cleared up his“asthma”.A month later he brought forth a Center for GER in an army hospital in Beijing,*** to now,601 patients with mainly respiratory distress(84%)were treated by Stretta Radiofrequency,58 by surgery and more by *** GER Center is now complete with a *** patients with respiratory distresses turned out to fare better than those with acid regurgitation.A nozzle-shaped pharynx was found in patients with the *** study revealed that the refluxate entered into tra-chea and even *** a hypothesis of a gastro-oesophago-laryngo-tracheal reflux took *** modest effort to treat GER-derived respiratory distresses has got off to an encouraging start amid relative shortage of experience and *** would like to share two thoughts with scholars and experts at home and abroad:*** GER-derived asthma is not asthma,but GER pure and simple;*** pathogenesis of“asthma”is not asthma,but laryngotracheal irritation/spasm and its sequence.

关键词： gastroesophageal reflux asthma laryngotracheal spasm brachiectasis tracheotomy

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