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Published in: Cough 1/2013

Open Access 01-12-2013 | Review

The oesophagus and cough: laryngo-pharyngeal reflux, microaspiration and vagal reflexes

Authors: Jaclyn A Smith, Lesley A Houghton

Published in: Cough | Issue 1/2013

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Abstract

Gastro-oesophageal reflux disease is generally considered to be one of the commonest causes of chronic cough, however randomised controlled trials of proton pump inhibitors have often failed to support this notion. This article reviews the most recent studies investigating the mechanisms thought to link reflux and cough, namely laryngo-pharyngeal reflux, micro-aspiration and neuronal cross-organ sensitisation. How recent evidence might shed light on the failure of acid suppressing therapies and suggest new approaches to treating reflux related cough are also discussed.
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Literature
1.
go back to reference Irwin RS, Corrao WM, Pratter MR: Chronic persistent cough in the adult: the spectrum and frequency of causes and successful outcome of specific therapy. Am Rev Respir Dis. 1981, 123: 413-417.PubMed Irwin RS, Corrao WM, Pratter MR: Chronic persistent cough in the adult: the spectrum and frequency of causes and successful outcome of specific therapy. Am Rev Respir Dis. 1981, 123: 413-417.PubMed
2.
go back to reference Irwin RS, Zawacki JK, Curley FJ, French CL, Hoffman PJ: Chronic cough as the sole presenting manifestation of gastroesophageal reflux. Am Rev Respir Dis. 1989, 140: 1294-1300. 10.1164/ajrccm/140.5.1294.CrossRefPubMed Irwin RS, Zawacki JK, Curley FJ, French CL, Hoffman PJ: Chronic cough as the sole presenting manifestation of gastroesophageal reflux. Am Rev Respir Dis. 1989, 140: 1294-1300. 10.1164/ajrccm/140.5.1294.CrossRefPubMed
3.
go back to reference Bel A, Labarre JF, Thivolle P, Passot E: broncho-pulmonary manifestations and gastroesophageal reflux. Poumon Coeur. 1977, 33: 345-350.PubMed Bel A, Labarre JF, Thivolle P, Passot E: broncho-pulmonary manifestations and gastroesophageal reflux. Poumon Coeur. 1977, 33: 345-350.PubMed
4.
5.
go back to reference Chang AB, Lasserson TJ, Gaffney J, Connor FL, Garske LA: Gastro-oesophageal reflux treatment for prolonged non-specific cough in children and adults. Cochrane Database Syst Rev. 2011, 1: CD004823-PubMed Chang AB, Lasserson TJ, Gaffney J, Connor FL, Garske LA: Gastro-oesophageal reflux treatment for prolonged non-specific cough in children and adults. Cochrane Database Syst Rev. 2011, 1: CD004823-PubMed
6.
go back to reference Kiljander TO, Salomaa ER, Hietanen EK, Terho EO: chronic cough and gastro-oesophageal reflux: a double-blind placebo-controlled study with omeprazole. Eur Respir J. 2000, 16: 633-638. 10.1034/j.1399-3003.2000.16d11.x.CrossRefPubMed Kiljander TO, Salomaa ER, Hietanen EK, Terho EO: chronic cough and gastro-oesophageal reflux: a double-blind placebo-controlled study with omeprazole. Eur Respir J. 2000, 16: 633-638. 10.1034/j.1399-3003.2000.16d11.x.CrossRefPubMed
7.
go back to reference Ours TM, Kavuru MS, Schilz RJ, Richter JE: A prospective evaluation of esophageal testing and a double-blind, randomized study of omeprazole in a diagnostic and therapeutic algorithm for chronic cough. Am J Gastroenterol. 1999, 94: 3131-3138. 10.1111/j.1572-0241.1999.01504.x.CrossRefPubMed Ours TM, Kavuru MS, Schilz RJ, Richter JE: A prospective evaluation of esophageal testing and a double-blind, randomized study of omeprazole in a diagnostic and therapeutic algorithm for chronic cough. Am J Gastroenterol. 1999, 94: 3131-3138. 10.1111/j.1572-0241.1999.01504.x.CrossRefPubMed
8.
go back to reference Faruqi S, Molyneux ID, Fathi H, Wright C, Thompson R, Morice AH: Chronic cough and esomeprazole: a double-blind placebo-controlled parallel study. Respirology. 2011, 16: 1150-1156. 10.1111/j.1440-1843.2011.02014.x.CrossRefPubMed Faruqi S, Molyneux ID, Fathi H, Wright C, Thompson R, Morice AH: Chronic cough and esomeprazole: a double-blind placebo-controlled parallel study. Respirology. 2011, 16: 1150-1156. 10.1111/j.1440-1843.2011.02014.x.CrossRefPubMed
9.
go back to reference Shaheen NJ, Crockett SD, Bright SD, Madanick RD, Buckmire R, Couch M, Dellon ES, Galanko JA, Sharpless G, Morgan DR, Spacek MB, Heidt-Davis P, Henke D: Randomised clinical trial: high-dose acid suppression for chronic cough - a double-blind, placebo-controlled study. Aliment Pharmacol Ther. 2011, 33: 225-234. 10.1111/j.1365-2036.2010.04511.x.PubMedCentralCrossRefPubMed Shaheen NJ, Crockett SD, Bright SD, Madanick RD, Buckmire R, Couch M, Dellon ES, Galanko JA, Sharpless G, Morgan DR, Spacek MB, Heidt-Davis P, Henke D: Randomised clinical trial: high-dose acid suppression for chronic cough - a double-blind, placebo-controlled study. Aliment Pharmacol Ther. 2011, 33: 225-234. 10.1111/j.1365-2036.2010.04511.x.PubMedCentralCrossRefPubMed
10.
go back to reference Zerbib F, Roman S, Bruley Des Varannes S, Gourcerol G, Coffin B, Ropert A, Lepicard P, Mion F: Normal values of pharyngeal and esophageal twenty-four-hour ph impedance in individuals on and off therapy and interobserver reproducibility. Clin Gastroenterol Hepatol. 2013, 11 (4): 366-72. 10.1016/j.cgh.2012.10.041.CrossRefPubMed Zerbib F, Roman S, Bruley Des Varannes S, Gourcerol G, Coffin B, Ropert A, Lepicard P, Mion F: Normal values of pharyngeal and esophageal twenty-four-hour ph impedance in individuals on and off therapy and interobserver reproducibility. Clin Gastroenterol Hepatol. 2013, 11 (4): 366-72. 10.1016/j.cgh.2012.10.041.CrossRefPubMed
11.
go back to reference Patterson N, Mainie I, Rafferty G, McGarvey L, Heaney L, Tutuian R, Castell D, Johnston BT: Nonacid reflux episodes reaching the pharynx are important factors associated with cough. J Clin Gastroenterol. 2009, 43: 414-419. 10.1097/MCG.0b013e31818859a3.CrossRefPubMed Patterson N, Mainie I, Rafferty G, McGarvey L, Heaney L, Tutuian R, Castell D, Johnston BT: Nonacid reflux episodes reaching the pharynx are important factors associated with cough. J Clin Gastroenterol. 2009, 43: 414-419. 10.1097/MCG.0b013e31818859a3.CrossRefPubMed
12.
go back to reference Kawamura O, Shimoyama Y, Hosaka H, Kuribayashi S, Maeda M, Nagoshi A, Zai H, Kusano M: Increase of weakly acidic gas esophagopharyngeal reflux (epr) and swallowing-induced acidic/weakly acidic epr in patients with chronic cough responding to proton pump inhibitors. Neurogastroenterol Motil. 2011, 23: 411-418. 10.1111/j.1365-2982.2010.01658.x. e172CrossRefPubMed Kawamura O, Shimoyama Y, Hosaka H, Kuribayashi S, Maeda M, Nagoshi A, Zai H, Kusano M: Increase of weakly acidic gas esophagopharyngeal reflux (epr) and swallowing-induced acidic/weakly acidic epr in patients with chronic cough responding to proton pump inhibitors. Neurogastroenterol Motil. 2011, 23: 411-418. 10.1111/j.1365-2982.2010.01658.x. e172CrossRefPubMed
13.
go back to reference Ummarino D, Vandermeulen L, Roosens B, Urbain D, Hauser B, Vandenplas Y: Gastroesophageal reflux evaluation in patients affected by chronic cough: restech versus multichannel intraluminal impedance/ph metry. Laryngoscope. 2012, Epub ahead of print Ummarino D, Vandermeulen L, Roosens B, Urbain D, Hauser B, Vandenplas Y: Gastroesophageal reflux evaluation in patients affected by chronic cough: restech versus multichannel intraluminal impedance/ph metry. Laryngoscope. 2012, Epub ahead of print
14.
go back to reference Becker V, Graf S, Schlag C, Schuster T, Feussner H, Schmid RM, Bajbouj M: First agreement analysis and day-to-day comparison of pharyngeal ph monitoring with ph/impedance monitoring in patients with suspected laryngopharyngeal reflux. J Gastrointest Surg. 2012, 16: 1096-1101. 10.1007/s11605-012-1866-x.CrossRefPubMed Becker V, Graf S, Schlag C, Schuster T, Feussner H, Schmid RM, Bajbouj M: First agreement analysis and day-to-day comparison of pharyngeal ph monitoring with ph/impedance monitoring in patients with suspected laryngopharyngeal reflux. J Gastrointest Surg. 2012, 16: 1096-1101. 10.1007/s11605-012-1866-x.CrossRefPubMed
15.
go back to reference de Bortoli N, Nacci A, Savarino E, Martinucci I, Bellini M, Fattori B, Ceccarelli L, Costa F, Mumolo MG, Ricchiuti A, Savarino V, Berrettini S, Marchi S: How many cases of laryngopharyngeal reflux suspected by laryngoscopy are gastroesophageal reflux disease-related?. World J Gastroenterol. 2012, 18: 4363-4370. 10.3748/wjg.v18.i32.4363.PubMedCentralCrossRefPubMed de Bortoli N, Nacci A, Savarino E, Martinucci I, Bellini M, Fattori B, Ceccarelli L, Costa F, Mumolo MG, Ricchiuti A, Savarino V, Berrettini S, Marchi S: How many cases of laryngopharyngeal reflux suspected by laryngoscopy are gastroesophageal reflux disease-related?. World J Gastroenterol. 2012, 18: 4363-4370. 10.3748/wjg.v18.i32.4363.PubMedCentralCrossRefPubMed
16.
go back to reference Branski RC, Bhattacharyya N, Shapiro J: The reliability of the assessment of endoscopic laryngeal findings associated with laryngopharyngeal reflux disease. Laryngoscope. 2002, 112: 1019-1024. 10.1097/00005537-200206000-00016.CrossRefPubMed Branski RC, Bhattacharyya N, Shapiro J: The reliability of the assessment of endoscopic laryngeal findings associated with laryngopharyngeal reflux disease. Laryngoscope. 2002, 112: 1019-1024. 10.1097/00005537-200206000-00016.CrossRefPubMed
17.
go back to reference Kelchner LN, Horne J, Lee L, Klaben B, Stemple JC, Adam S, Kereiakes T, Levin L: Reliability of speech-language pathologist and otolaryngologist ratings of laryngeal signs of reflux in an asymptomatic population using the reflux finding score. J Voice. 2007, 21: 92-100. 10.1016/j.jvoice.2005.09.004.CrossRefPubMed Kelchner LN, Horne J, Lee L, Klaben B, Stemple JC, Adam S, Kereiakes T, Levin L: Reliability of speech-language pathologist and otolaryngologist ratings of laryngeal signs of reflux in an asymptomatic population using the reflux finding score. J Voice. 2007, 21: 92-100. 10.1016/j.jvoice.2005.09.004.CrossRefPubMed
18.
go back to reference Musser J, Kelchner L, Neils-Strunjas J, Montrose M: A comparison of rating scales used in the diagnosis of extraesophageal reflux. J Voice. 2011, 25: 293-300. 10.1016/j.jvoice.2009.11.009.CrossRefPubMed Musser J, Kelchner L, Neils-Strunjas J, Montrose M: A comparison of rating scales used in the diagnosis of extraesophageal reflux. J Voice. 2011, 25: 293-300. 10.1016/j.jvoice.2009.11.009.CrossRefPubMed
19.
go back to reference Decalmer S, Stovold R, Houghton LA, Pearson J, Ward C, Kelsall A, Jones H, McGuinness K, Woodcock A, Smith JA: Chronic cough: relationship between microaspiration, gastroesophageal reflux, and cough frequency. Chest. 2012, 142: 958-964. 10.1378/chest.12-0044.CrossRefPubMed Decalmer S, Stovold R, Houghton LA, Pearson J, Ward C, Kelsall A, Jones H, McGuinness K, Woodcock A, Smith JA: Chronic cough: relationship between microaspiration, gastroesophageal reflux, and cough frequency. Chest. 2012, 142: 958-964. 10.1378/chest.12-0044.CrossRefPubMed
20.
go back to reference Blondeau K, Dupont LJ, Mertens V, Tack J, Sifrim D: Improved diagnosis of gastro-oesophageal reflux in patients with unexplained chronic cough. Aliment Pharmacol Ther. 2007, 25: 723-732. 10.1111/j.1365-2036.2007.03255.x.CrossRefPubMed Blondeau K, Dupont LJ, Mertens V, Tack J, Sifrim D: Improved diagnosis of gastro-oesophageal reflux in patients with unexplained chronic cough. Aliment Pharmacol Ther. 2007, 25: 723-732. 10.1111/j.1365-2036.2007.03255.x.CrossRefPubMed
21.
go back to reference Sifrim D, Dupont L, Blondeau K, Zhang X, Tack J, Janssens J: Weakly acidic reflux in patients with chronic unexplained cough during 24 hour pressure, ph, and impedance monitoring. Gut. 2005, 54: 449-454. 10.1136/gut.2004.055418.PubMedCentralCrossRefPubMed Sifrim D, Dupont L, Blondeau K, Zhang X, Tack J, Janssens J: Weakly acidic reflux in patients with chronic unexplained cough during 24 hour pressure, ph, and impedance monitoring. Gut. 2005, 54: 449-454. 10.1136/gut.2004.055418.PubMedCentralCrossRefPubMed
22.
go back to reference Shay S, Tutuian R, Sifrim D, Vela M, Wise J, Balaji N, Zhang X, Adhami T, Murray J, Peters J, Castell D: Twenty-four hour ambulatory simultaneous impedance and ph monitoring: a multicenter report of normal values from 60 healthy volunteers. Am J Gastroenterol. 2004, 99: 1037-1043. 10.1111/j.1572-0241.2004.04172.x.CrossRefPubMed Shay S, Tutuian R, Sifrim D, Vela M, Wise J, Balaji N, Zhang X, Adhami T, Murray J, Peters J, Castell D: Twenty-four hour ambulatory simultaneous impedance and ph monitoring: a multicenter report of normal values from 60 healthy volunteers. Am J Gastroenterol. 2004, 99: 1037-1043. 10.1111/j.1572-0241.2004.04172.x.CrossRefPubMed
23.
go back to reference Zerbib F, Des Varannes SB, Roman S, Pouderoux P, Artigue F, Chaput U, Mion F, Caillol F, Verin E, Bommelaer G, Ducrotte P, Galmiche JP, Sifrim D: Normal values and day-to-day variability of 24-h ambulatory oesophageal impedance-ph monitoring in a belgian-french cohort of healthy subjects. Aliment Pharmacol Ther. 2005, 22: 1011-1021. 10.1111/j.1365-2036.2005.02677.x.CrossRefPubMed Zerbib F, Des Varannes SB, Roman S, Pouderoux P, Artigue F, Chaput U, Mion F, Caillol F, Verin E, Bommelaer G, Ducrotte P, Galmiche JP, Sifrim D: Normal values and day-to-day variability of 24-h ambulatory oesophageal impedance-ph monitoring in a belgian-french cohort of healthy subjects. Aliment Pharmacol Ther. 2005, 22: 1011-1021. 10.1111/j.1365-2036.2005.02677.x.CrossRefPubMed
24.
go back to reference Lee JH, Park SY, Cho SB, Lee WS, Park CH, Koh YI, Joo YE, Kim HS, Choi SK, Rew JS: Reflux episode reaching the proximal esophagus are associated with chronic cough. Gut Liver. 2012, 6: 197-202. 10.5009/gnl.2012.6.2.197.PubMedCentralCrossRefPubMed Lee JH, Park SY, Cho SB, Lee WS, Park CH, Koh YI, Joo YE, Kim HS, Choi SK, Rew JS: Reflux episode reaching the proximal esophagus are associated with chronic cough. Gut Liver. 2012, 6: 197-202. 10.5009/gnl.2012.6.2.197.PubMedCentralCrossRefPubMed
25.
26.
go back to reference Vardar R, Sweis R, Anggiansah A, Wong T, Fox MR: Upper esophageal sphincter and esophageal motility in patients with chronic cough and reflux: Assessment by high-resolution manometry. Dis Esophagus. 2013, 26 (3): 219-25. 10.1111/j.1442-2050.2012.01354.x.CrossRefPubMed Vardar R, Sweis R, Anggiansah A, Wong T, Fox MR: Upper esophageal sphincter and esophageal motility in patients with chronic cough and reflux: Assessment by high-resolution manometry. Dis Esophagus. 2013, 26 (3): 219-25. 10.1111/j.1442-2050.2012.01354.x.CrossRefPubMed
27.
go back to reference Kastelik JA, Redington AE, Aziz I, Buckton GK, Smith CM, Dakkak M, Morice AH: Abnormal oesophageal motility in patients with chronic cough. Thorax. 2003, 58: 699-702. 10.1136/thorax.58.8.699.PubMedCentralCrossRefPubMed Kastelik JA, Redington AE, Aziz I, Buckton GK, Smith CM, Dakkak M, Morice AH: Abnormal oesophageal motility in patients with chronic cough. Thorax. 2003, 58: 699-702. 10.1136/thorax.58.8.699.PubMedCentralCrossRefPubMed
28.
go back to reference Fouad YM, Katz PO, Hatlebakk JG, Castell DO: Ineffective esophageal motility: the most common motility abnormality in patients with gerd-associated respiratory symptoms. Am J Gastroenterol. 1999, 94: 1464-1467. 10.1111/j.1572-0241.1999.1127_e.x.CrossRefPubMed Fouad YM, Katz PO, Hatlebakk JG, Castell DO: Ineffective esophageal motility: the most common motility abnormality in patients with gerd-associated respiratory symptoms. Am J Gastroenterol. 1999, 94: 1464-1467. 10.1111/j.1572-0241.1999.1127_e.x.CrossRefPubMed
29.
go back to reference Dua K, Surapaneni SN, Kuribayashi S, Hafeezullah M, Shaker R: Pharyngeal airway protective reflexes are triggered before the maximum volume of fluid that the hypopharynx can safely hold is exceeded. Am J Physiol Gastrointest Liver Physiol. 2011, 301: G197-202. 10.1152/ajpgi.00046.2011.PubMedCentralCrossRefPubMed Dua K, Surapaneni SN, Kuribayashi S, Hafeezullah M, Shaker R: Pharyngeal airway protective reflexes are triggered before the maximum volume of fluid that the hypopharynx can safely hold is exceeded. Am J Physiol Gastrointest Liver Physiol. 2011, 301: G197-202. 10.1152/ajpgi.00046.2011.PubMedCentralCrossRefPubMed
30.
go back to reference Phua SY, McGarvey L, Ngu M, Ing A: The differential effect of gastroesophageal reflux disease on mechanostimulation and chemostimulation of the laryngopharynx. Chest. 2010, 138: 1180-1185. 10.1378/chest.09-2387.CrossRefPubMed Phua SY, McGarvey L, Ngu M, Ing A: The differential effect of gastroesophageal reflux disease on mechanostimulation and chemostimulation of the laryngopharynx. Chest. 2010, 138: 1180-1185. 10.1378/chest.09-2387.CrossRefPubMed
31.
go back to reference Phua SY, McGarvey LP, Ngu MC, Ing AJ: Patients with gastro-oesophageal reflux disease and cough have impaired laryngopharyngeal mechanosensitivity. Thorax. 2005, 60: 488-491. 10.1136/thx.2004.033894.PubMedCentralCrossRefPubMed Phua SY, McGarvey LP, Ngu MC, Ing AJ: Patients with gastro-oesophageal reflux disease and cough have impaired laryngopharyngeal mechanosensitivity. Thorax. 2005, 60: 488-491. 10.1136/thx.2004.033894.PubMedCentralCrossRefPubMed
32.
go back to reference Langton JA, Murphy PJ, Barker P, Key A, Smith G: Measurement of the sensitivity of upper airway reflexes. Br J Anaesth. 1993, 70: 126-130. 10.1093/bja/70.2.126.CrossRefPubMed Langton JA, Murphy PJ, Barker P, Key A, Smith G: Measurement of the sensitivity of upper airway reflexes. Br J Anaesth. 1993, 70: 126-130. 10.1093/bja/70.2.126.CrossRefPubMed
33.
go back to reference Prudon B, Birring SS, Vara DD, Hall AP, Thompson JP, Pavord ID: Cough and glottic-stop reflex sensitivity in health and disease. Chest. 2005, 127: 550-557. 10.1378/chest.127.2.550.CrossRefPubMed Prudon B, Birring SS, Vara DD, Hall AP, Thompson JP, Pavord ID: Cough and glottic-stop reflex sensitivity in health and disease. Chest. 2005, 127: 550-557. 10.1378/chest.127.2.550.CrossRefPubMed
34.
go back to reference Choudry NB, Fuller RW: Sensitivity of the cough reflex in patients with chronic cough. Eur Respir J. 1992, 5: 296-300.PubMed Choudry NB, Fuller RW: Sensitivity of the cough reflex in patients with chronic cough. Eur Respir J. 1992, 5: 296-300.PubMed
35.
go back to reference Stovold R, Forrest IA, Corris PA, Murphy DM, Smith JA, Decalmer S, Johnson GE, Dark JH, Pearson JP, Ward C: Pepsin, a biomarker of gastric aspiration in lung allografts: a putative association with rejection. Am J Respir Crit Care Med. 2007, 175: 1298-1303. 10.1164/rccm.200610-1485OC.CrossRefPubMed Stovold R, Forrest IA, Corris PA, Murphy DM, Smith JA, Decalmer S, Johnson GE, Dark JH, Pearson JP, Ward C: Pepsin, a biomarker of gastric aspiration in lung allografts: a putative association with rejection. Am J Respir Crit Care Med. 2007, 175: 1298-1303. 10.1164/rccm.200610-1485OC.CrossRefPubMed
36.
go back to reference Grabowski M, Kasran A, Seys S, Pauwels A, Medrala W, Dupont L, Panaszek B, Bullens D: Pepsin and bile acids in induced sputum of chronic cough patients. Respir Med. 2011, 105: 1257-1261. 10.1016/j.rmed.2011.04.015.CrossRefPubMed Grabowski M, Kasran A, Seys S, Pauwels A, Medrala W, Dupont L, Panaszek B, Bullens D: Pepsin and bile acids in induced sputum of chronic cough patients. Respir Med. 2011, 105: 1257-1261. 10.1016/j.rmed.2011.04.015.CrossRefPubMed
37.
go back to reference Pauwels A, Decraene A, Blondeau K, Mertens V, Farre R, Proesmans M, Van Bleyenbergh P, Sifrim D, Dupont LJ: Bile acids in sputum and increased airway inflammation in patients with cystic fibrosis. Chest. 2012, 141: 1568-1574. 10.1378/chest.11-1573.CrossRefPubMed Pauwels A, Decraene A, Blondeau K, Mertens V, Farre R, Proesmans M, Van Bleyenbergh P, Sifrim D, Dupont LJ: Bile acids in sputum and increased airway inflammation in patients with cystic fibrosis. Chest. 2012, 141: 1568-1574. 10.1378/chest.11-1573.CrossRefPubMed
38.
go back to reference Smith JA, Decalmer S, Kelsall A, McGuinness K, Jones H, Galloway S, Woodcock A, Houghton LA: Acoustic cough-reflux associations in chronic cough: potential triggers and mechanisms. Gastroenterology. 2010, 139: 754-762. 10.1053/j.gastro.2010.06.050.CrossRefPubMed Smith JA, Decalmer S, Kelsall A, McGuinness K, Jones H, Galloway S, Woodcock A, Houghton LA: Acoustic cough-reflux associations in chronic cough: potential triggers and mechanisms. Gastroenterology. 2010, 139: 754-762. 10.1053/j.gastro.2010.06.050.CrossRefPubMed
39.
go back to reference Kunsch S, Gross V, Neesse A, Sohrabi K, Nell C, Gress TM, Ellenrieder V, Koehler U: Combined lung-sound and reflux-monitoring: a pilot study of a novel approach to detect nocturnal respiratory symptoms in gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 2011, 33: 592-600. 10.1111/j.1365-2036.2010.04559.x.CrossRefPubMed Kunsch S, Gross V, Neesse A, Sohrabi K, Nell C, Gress TM, Ellenrieder V, Koehler U: Combined lung-sound and reflux-monitoring: a pilot study of a novel approach to detect nocturnal respiratory symptoms in gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 2011, 33: 592-600. 10.1111/j.1365-2036.2010.04559.x.CrossRefPubMed
40.
go back to reference Bogte A, Bredenoord AJ, Smout AJ: Diagnostic yield of oesophageal ph monitoring in patients with chronic unexplained cough. Scand J Gastroenterol. 2008, 43: 13-19. 10.1080/00365520701580421.CrossRefPubMed Bogte A, Bredenoord AJ, Smout AJ: Diagnostic yield of oesophageal ph monitoring in patients with chronic unexplained cough. Scand J Gastroenterol. 2008, 43: 13-19. 10.1080/00365520701580421.CrossRefPubMed
41.
go back to reference Weusten BL, Roelofs JM, Akkermans LM, Van Berge-Henegouwen GP, Smout AJ: The symptom-association probability: an improved method for symptom analysis of 24-hour esophageal ph data. Gastroenterology. 1994, 107: 1741-1745.PubMed Weusten BL, Roelofs JM, Akkermans LM, Van Berge-Henegouwen GP, Smout AJ: The symptom-association probability: an improved method for symptom analysis of 24-hour esophageal ph data. Gastroenterology. 1994, 107: 1741-1745.PubMed
42.
go back to reference Kavitt RT, Higginbotham T, Slaughter JC, Patel D, Yuksel ES, Lominadze Z, Abou-Ismail A, Pasricha T, Garrett CG, Hagaman D, Vaezi MF: Symptom reports are not reliable during ambulatory reflux monitoring. Am J Gastroenterol. 2012, 107 (12): 1826-32. 10.1038/ajg.2012.342.CrossRefPubMed Kavitt RT, Higginbotham T, Slaughter JC, Patel D, Yuksel ES, Lominadze Z, Abou-Ismail A, Pasricha T, Garrett CG, Hagaman D, Vaezi MF: Symptom reports are not reliable during ambulatory reflux monitoring. Am J Gastroenterol. 2012, 107 (12): 1826-32. 10.1038/ajg.2012.342.CrossRefPubMed
43.
go back to reference Decalmer S, Kelsall A, McGuinness K, Woodcock A, Smith JA: Patient registering of cough events during 24 hour oesophageal impedance monitoring [abstract]. Am J Respir Crit Care Med. 2007, 175 (Abstract issue): A380- Decalmer S, Kelsall A, McGuinness K, Woodcock A, Smith JA: Patient registering of cough events during 24 hour oesophageal impedance monitoring [abstract]. Am J Respir Crit Care Med. 2007, 175 (Abstract issue): A380-
44.
go back to reference Penagini R, Schoeman MN, Dent J, Tippett MD, Holloway RH: Motor events underlying gastro-oesophageal reflux in ambulant patients with reflux oesophagitis. Neurogastroenterol Motil. 1996, 8: 131-141. 10.1111/j.1365-2982.1996.tb00253.x.CrossRefPubMed Penagini R, Schoeman MN, Dent J, Tippett MD, Holloway RH: Motor events underlying gastro-oesophageal reflux in ambulant patients with reflux oesophagitis. Neurogastroenterol Motil. 1996, 8: 131-141. 10.1111/j.1365-2982.1996.tb00253.x.CrossRefPubMed
45.
go back to reference Schoeman MN, Tippett MD, Akkermans LM, Dent J, Holloway RH: Mechanisms of gastroesophageal reflux in ambulant healthy human subjects. Gastroenterology. 1995, 108: 83-91. 10.1016/0016-5085(95)90011-X.CrossRefPubMed Schoeman MN, Tippett MD, Akkermans LM, Dent J, Holloway RH: Mechanisms of gastroesophageal reflux in ambulant healthy human subjects. Gastroenterology. 1995, 108: 83-91. 10.1016/0016-5085(95)90011-X.CrossRefPubMed
46.
go back to reference van Herwaarden MA, Samsom M, Smout AJ: Excess gastroesophageal reflux in patients with hiatus hernia is caused by mechanisms other than transient les relaxations. Gastroenterology. 2000, 119: 1439-1446. 10.1053/gast.2000.20191.CrossRefPubMed van Herwaarden MA, Samsom M, Smout AJ: Excess gastroesophageal reflux in patients with hiatus hernia is caused by mechanisms other than transient les relaxations. Gastroenterology. 2000, 119: 1439-1446. 10.1053/gast.2000.20191.CrossRefPubMed
47.
go back to reference Ing AJ, Ngu MC, Breslin AB: Pathogenesis of chronic persistent cough associated with gastroesophageal reflux. Am J Respir Crit Care Med. 1994, 149: 160-167. 10.1164/ajrccm.149.1.8111576.CrossRefPubMed Ing AJ, Ngu MC, Breslin AB: Pathogenesis of chronic persistent cough associated with gastroesophageal reflux. Am J Respir Crit Care Med. 1994, 149: 160-167. 10.1164/ajrccm.149.1.8111576.CrossRefPubMed
48.
go back to reference Javorkova N, Varechova S, Pecova R, Tatar M, Balaz D, Demeter M, Hyrdel R, Kollarik M: Acidification of the oesophagus acutely increases the cough sensitivity in patients with gastro-oesophageal reflux and chronic cough. Neurogastroenterol Motil. 2008, 20: 119-124.PubMed Javorkova N, Varechova S, Pecova R, Tatar M, Balaz D, Demeter M, Hyrdel R, Kollarik M: Acidification of the oesophagus acutely increases the cough sensitivity in patients with gastro-oesophageal reflux and chronic cough. Neurogastroenterol Motil. 2008, 20: 119-124.PubMed
49.
go back to reference Poelmans J, Feenstra L, Demedts I, Rutgeerts P, Tack J: The yield of upper gastrointestinal endoscopy in patients with suspected reflux-related chronic ear, nose, and throat symptoms. Am J Gastroenterol. 2004, 99: 1419-1426. 10.1111/j.1572-0241.2004.30066.x.CrossRefPubMed Poelmans J, Feenstra L, Demedts I, Rutgeerts P, Tack J: The yield of upper gastrointestinal endoscopy in patients with suspected reflux-related chronic ear, nose, and throat symptoms. Am J Gastroenterol. 2004, 99: 1419-1426. 10.1111/j.1572-0241.2004.30066.x.CrossRefPubMed
50.
go back to reference Poelmans J, Feenstra L, Tack J: Determinants of long-term outcome of patients with reflux-related ear, nose, and throat symptoms. Dig Dis Sci. 2006, 51: 282-288. 10.1007/s10620-006-3126-y.CrossRefPubMed Poelmans J, Feenstra L, Tack J: Determinants of long-term outcome of patients with reflux-related ear, nose, and throat symptoms. Dig Dis Sci. 2006, 51: 282-288. 10.1007/s10620-006-3126-y.CrossRefPubMed
51.
go back to reference Harding SM, Schan CA, Guzzo MR, Alexander RW, Bradley LA, Richter JE: Gastroesophageal reflux-induced bronchoconstriction. Is microaspiration a factor?. Chest. 1995, 108: 1220-1227. 10.1378/chest.108.5.1220.CrossRefPubMed Harding SM, Schan CA, Guzzo MR, Alexander RW, Bradley LA, Richter JE: Gastroesophageal reflux-induced bronchoconstriction. Is microaspiration a factor?. Chest. 1995, 108: 1220-1227. 10.1378/chest.108.5.1220.CrossRefPubMed
52.
go back to reference Mansfield LE, Stein MR: Gastroesophageal reflux and asthma: a possible reflex mechanism. Ann Allergy. 1978, 41: 224-226.PubMed Mansfield LE, Stein MR: Gastroesophageal reflux and asthma: a possible reflex mechanism. Ann Allergy. 1978, 41: 224-226.PubMed
53.
go back to reference Wright RA, Miller SA, Corsello BF: Acid-induced esophagobronchial-cardiac reflexes in humans. Gastroenterology. 1990, 99: 71-73.PubMed Wright RA, Miller SA, Corsello BF: Acid-induced esophagobronchial-cardiac reflexes in humans. Gastroenterology. 1990, 99: 71-73.PubMed
54.
go back to reference Schan CA, Harding SM, Haile JM, Bradley LA, Richter JE: Gastroesophageal reflux-induced bronchoconstriction. An intraesophageal acid infusion study using state-of-the-art technology. Chest. 1994, 106: 731-737.PubMed Schan CA, Harding SM, Haile JM, Bradley LA, Richter JE: Gastroesophageal reflux-induced bronchoconstriction. An intraesophageal acid infusion study using state-of-the-art technology. Chest. 1994, 106: 731-737.PubMed
55.
go back to reference Wu DN, Yamauchi K, Kobayashi H, Tanifuji Y, Kato C, Suzuki K, Inoue H: Effects of esophageal acid perfusion on cough responsiveness in patients with bronchial asthma. Chest. 2002, 122: 505-509. 10.1378/chest.122.2.505.CrossRefPubMed Wu DN, Yamauchi K, Kobayashi H, Tanifuji Y, Kato C, Suzuki K, Inoue H: Effects of esophageal acid perfusion on cough responsiveness in patients with bronchial asthma. Chest. 2002, 122: 505-509. 10.1378/chest.122.2.505.CrossRefPubMed
56.
go back to reference Chan WW, Chiou E, Obstein KL, Tignor AS, Whitlock TL: The efficacy of proton pump inhibitors for the treatment of asthma in adults: A meta-analysis. Arch Intern Med. 2011, 171: 620-629. 10.1001/archinternmed.2011.116.CrossRefPubMed Chan WW, Chiou E, Obstein KL, Tignor AS, Whitlock TL: The efficacy of proton pump inhibitors for the treatment of asthma in adults: A meta-analysis. Arch Intern Med. 2011, 171: 620-629. 10.1001/archinternmed.2011.116.CrossRefPubMed
57.
go back to reference Dent J, Dodds WJ, Friedman RH, Sekiguchi T, Hogan WJ, Arndorfer RC, Petrie DJ: Mechanism of gastroesophageal reflux in recumbent asymptomatic human subjects. J Clin Invest. 1980, 65: 256-267. 10.1172/JCI109667.PubMedCentralCrossRefPubMed Dent J, Dodds WJ, Friedman RH, Sekiguchi T, Hogan WJ, Arndorfer RC, Petrie DJ: Mechanism of gastroesophageal reflux in recumbent asymptomatic human subjects. J Clin Invest. 1980, 65: 256-267. 10.1172/JCI109667.PubMedCentralCrossRefPubMed
58.
go back to reference Dodds WJ, Dent J, Hogan WJ, Helm JF, Hauser R, Patel GK, Egide MS: Mechanisms of gastroesophageal reflux in patients with reflux esophagitis. N Engl J Med. 1982, 307: 1547-1552. 10.1056/NEJM198212163072503.CrossRefPubMed Dodds WJ, Dent J, Hogan WJ, Helm JF, Hauser R, Patel GK, Egide MS: Mechanisms of gastroesophageal reflux in patients with reflux esophagitis. N Engl J Med. 1982, 307: 1547-1552. 10.1056/NEJM198212163072503.CrossRefPubMed
59.
go back to reference Kahrilas PJ, Howden CW, Hughes N, Molloy-Bland M: Response of chronic cough to acid-suppressive therapy in patients with gastroesophageal reflux disease. Chest. 2013, 143 (3): 605-612.PubMedCentralCrossRefPubMed Kahrilas PJ, Howden CW, Hughes N, Molloy-Bland M: Response of chronic cough to acid-suppressive therapy in patients with gastroesophageal reflux disease. Chest. 2013, 143 (3): 605-612.PubMedCentralCrossRefPubMed
60.
go back to reference Kelsall A, Houghton LA, Jones H, Decalmer S, McGuinness K, Smith JA: A novel approach to studying the relationship between subjective and objective measures of cough. Chest. 2011, 139: 569-575. 10.1378/chest.10-0438.CrossRefPubMed Kelsall A, Houghton LA, Jones H, Decalmer S, McGuinness K, Smith JA: A novel approach to studying the relationship between subjective and objective measures of cough. Chest. 2011, 139: 569-575. 10.1378/chest.10-0438.CrossRefPubMed
61.
go back to reference Dent J: Reflux inhibitor drugs: an emerging novel therapy for gastroesophageal reflux disease. J Dig Dis. 2010, 11: 72-75. 10.1111/j.1751-2980.2010.00418.x.CrossRefPubMed Dent J: Reflux inhibitor drugs: an emerging novel therapy for gastroesophageal reflux disease. J Dig Dis. 2010, 11: 72-75. 10.1111/j.1751-2980.2010.00418.x.CrossRefPubMed
62.
go back to reference Boeckxstaens GE, Beaumont H, Mertens V, Denison H, Ruth M, Adler J, Silberg DG, Sifrim D: Effects of lesogaberan on reflux and lower esophageal sphincter function in patients with gastroesophageal reflux disease. Gastroenterology. 2010, 139: 409-417. 10.1053/j.gastro.2010.04.051.CrossRefPubMed Boeckxstaens GE, Beaumont H, Mertens V, Denison H, Ruth M, Adler J, Silberg DG, Sifrim D: Effects of lesogaberan on reflux and lower esophageal sphincter function in patients with gastroesophageal reflux disease. Gastroenterology. 2010, 139: 409-417. 10.1053/j.gastro.2010.04.051.CrossRefPubMed
63.
go back to reference Shaheen NJ, Denison H, Bjorck K, Karlsson M, Silberg DG: Efficacy and safety of lesogaberan in gastro-oesophageal reflux disease: a randomised controlled trial. Gut. 2012, Epub ahead of print Shaheen NJ, Denison H, Bjorck K, Karlsson M, Silberg DG: Efficacy and safety of lesogaberan in gastro-oesophageal reflux disease: a randomised controlled trial. Gut. 2012, Epub ahead of print
64.
go back to reference Dicpinigaitis PV, Rauf K: Treatment of chronic, refractory cough with baclofen. Respiration. 1998, 65: 86-88. 10.1159/000029232.CrossRefPubMed Dicpinigaitis PV, Rauf K: Treatment of chronic, refractory cough with baclofen. Respiration. 1998, 65: 86-88. 10.1159/000029232.CrossRefPubMed
65.
go back to reference Xu X, Chen Q, Liang S, Lu H, Qiu Z: Successful resolution of refractory chronic cough induced by gastroesophageal reflux with treatment of baclofen. Cough. 2012, 8: 8-10.1186/1745-9974-8-8.PubMedCentralCrossRefPubMed Xu X, Chen Q, Liang S, Lu H, Qiu Z: Successful resolution of refractory chronic cough induced by gastroesophageal reflux with treatment of baclofen. Cough. 2012, 8: 8-10.1186/1745-9974-8-8.PubMedCentralCrossRefPubMed
66.
go back to reference Lidums I, Lehmann A, Checklin H, Dent J, Holloway RH: Control of transient lower esophageal sphincter relaxations and reflux by the GABA(B) agonist baclofen in normal subjects. Gastroenterology. 2000, 118: 7-13. 10.1016/S0016-5085(00)70408-2.CrossRefPubMed Lidums I, Lehmann A, Checklin H, Dent J, Holloway RH: Control of transient lower esophageal sphincter relaxations and reflux by the GABA(B) agonist baclofen in normal subjects. Gastroenterology. 2000, 118: 7-13. 10.1016/S0016-5085(00)70408-2.CrossRefPubMed
67.
go back to reference Dicpinigaitis PV, Dobkin JB, Rauf K, Aldrich TK: Inhibition of capsaicin-induced cough by the gamma-aminobutyric acid agonist baclofen. J Clin Pharmacol. 1998, 38: 364-367. 10.1002/j.1552-4604.1998.tb04436.x.CrossRefPubMed Dicpinigaitis PV, Dobkin JB, Rauf K, Aldrich TK: Inhibition of capsaicin-induced cough by the gamma-aminobutyric acid agonist baclofen. J Clin Pharmacol. 1998, 38: 364-367. 10.1002/j.1552-4604.1998.tb04436.x.CrossRefPubMed
68.
go back to reference Canning BJ, Mori N, Lehmann A: Antitussive effects of the peripherally restricted gabab receptor agonist lesogaberan in guinea pigs: comparison to baclofen and other gabab receptor-selective agonists. Cough. 2012, 8: 7-10.1186/1745-9974-8-7.PubMedCentralCrossRefPubMed Canning BJ, Mori N, Lehmann A: Antitussive effects of the peripherally restricted gabab receptor agonist lesogaberan in guinea pigs: comparison to baclofen and other gabab receptor-selective agonists. Cough. 2012, 8: 7-10.1186/1745-9974-8-7.PubMedCentralCrossRefPubMed
69.
go back to reference Pavesi L, Subburaj S, Porter-Shaw K: Application and validation of a computerized cough acquisition system for objective monitoring of acute cough: a meta-analysis. Chest. 2001, 120: 1121-1128. 10.1378/chest.120.4.1121.CrossRefPubMed Pavesi L, Subburaj S, Porter-Shaw K: Application and validation of a computerized cough acquisition system for objective monitoring of acute cough: a meta-analysis. Chest. 2001, 120: 1121-1128. 10.1378/chest.120.4.1121.CrossRefPubMed
70.
71.
go back to reference Young EC, Sumner H, Decalmer S, Houghton LA, Woodcock A, Smith JA: Does central up-regulation of the n-methyl-d-aspartate receptor contribute to cough reflex hypersensitivity?. Am J Respir Crit Care Med. 2010, 181 (Meeting Abstracts): A5906- Young EC, Sumner H, Decalmer S, Houghton LA, Woodcock A, Smith JA: Does central up-regulation of the n-methyl-d-aspartate receptor contribute to cough reflex hypersensitivity?. Am J Respir Crit Care Med. 2010, 181 (Meeting Abstracts): A5906-
72.
go back to reference Morice AH, Menon MS, Mulrennan SA, Everett CF, Wright C, Jackson J, Thompson R: Opiate therapy in chronic cough. Am J Respir Crit Care Med. 2007, 175: 312-315. 10.1164/rccm.200607-892OC.CrossRefPubMed Morice AH, Menon MS, Mulrennan SA, Everett CF, Wright C, Jackson J, Thompson R: Opiate therapy in chronic cough. Am J Respir Crit Care Med. 2007, 175: 312-315. 10.1164/rccm.200607-892OC.CrossRefPubMed
73.
go back to reference Mintz S, Lee JK: Gabapentin in the treatment of intractable idiopathic chronic cough: case reports. Am J Med. 2006, 119: e13-15.CrossRefPubMed Mintz S, Lee JK: Gabapentin in the treatment of intractable idiopathic chronic cough: case reports. Am J Med. 2006, 119: e13-15.CrossRefPubMed
74.
go back to reference Galmiche JP, Hatlebakk J, Attwood S, Ell C, Fiocca R, Eklund S, Langstrom G, Lind T, Lundell L: Laparoscopic antireflux surgery vs esomeprazole treatment for chronic gerd: The lotus randomized clinical trial. JAMA. 2011, 305: 1969-1977. 10.1001/jama.2011.626.CrossRefPubMed Galmiche JP, Hatlebakk J, Attwood S, Ell C, Fiocca R, Eklund S, Langstrom G, Lind T, Lundell L: Laparoscopic antireflux surgery vs esomeprazole treatment for chronic gerd: The lotus randomized clinical trial. JAMA. 2011, 305: 1969-1977. 10.1001/jama.2011.626.CrossRefPubMed
75.
go back to reference Campos GM, Peters JH, DeMeester TR, Oberg S, Crookes PF, Tan S, DeMeester SR, Hagen JA, Bremner CG: Multivariate analysis of factors predicting outcome after laparoscopic nissen fundoplication. J Gastrointest Surg. 1999, 3: 292-300. 10.1016/S1091-255X(99)80071-7.CrossRefPubMed Campos GM, Peters JH, DeMeester TR, Oberg S, Crookes PF, Tan S, DeMeester SR, Hagen JA, Bremner CG: Multivariate analysis of factors predicting outcome after laparoscopic nissen fundoplication. J Gastrointest Surg. 1999, 3: 292-300. 10.1016/S1091-255X(99)80071-7.CrossRefPubMed
76.
go back to reference Broeders JA, Bredenoord AJ, Hazebroek EJ, Broeders IA, Gooszen HG, Smout AJ: Effects of anti-reflux surgery on weakly acidic reflux and belching. Gut. 2011, 60: 435-441. 10.1136/gut.2010.224824.CrossRefPubMed Broeders JA, Bredenoord AJ, Hazebroek EJ, Broeders IA, Gooszen HG, Smout AJ: Effects of anti-reflux surgery on weakly acidic reflux and belching. Gut. 2011, 60: 435-441. 10.1136/gut.2010.224824.CrossRefPubMed
77.
go back to reference Allen CJ, Anvari M: Gastro-oesophageal reflux related cough and its response to laparoscopic fundoplication. Thorax. 1998, 53: 963-968. 10.1136/thx.53.11.963.PubMedCentralCrossRefPubMed Allen CJ, Anvari M: Gastro-oesophageal reflux related cough and its response to laparoscopic fundoplication. Thorax. 1998, 53: 963-968. 10.1136/thx.53.11.963.PubMedCentralCrossRefPubMed
78.
go back to reference Novitsky YW, Zawacki JK, Irwin RS, French CT, Hussey VM, Callery MP: Chronic cough due to gastroesophageal reflux disease: efficacy of antireflux surgery. Surg Endosc. 2002, 16: 567-571. 10.1007/s00464-001-8328-y.CrossRefPubMed Novitsky YW, Zawacki JK, Irwin RS, French CT, Hussey VM, Callery MP: Chronic cough due to gastroesophageal reflux disease: efficacy of antireflux surgery. Surg Endosc. 2002, 16: 567-571. 10.1007/s00464-001-8328-y.CrossRefPubMed
79.
go back to reference Kirkby-Bott J, Jones E, Perring S, Hosking SW: Proximal acid reflux treated by fundoplication predicts a good outcome for chronic cough attributable to gastro-oesophageal reflux disease. Langenbecks Arch Surg. 2011, 396: 167-171. 10.1007/s00423-010-0702-6.CrossRefPubMed Kirkby-Bott J, Jones E, Perring S, Hosking SW: Proximal acid reflux treated by fundoplication predicts a good outcome for chronic cough attributable to gastro-oesophageal reflux disease. Langenbecks Arch Surg. 2011, 396: 167-171. 10.1007/s00423-010-0702-6.CrossRefPubMed
80.
81.
go back to reference Irwin RS, Zawacki JK, Wilson MM, French CT, Callery MP: Chronic cough due to gastroesophageal reflux disease: failure to resolve despite total/near-total elimination of esophageal acid. Chest. 2002, 121: 1132-1140. 10.1378/chest.121.4.1132.CrossRefPubMed Irwin RS, Zawacki JK, Wilson MM, French CT, Callery MP: Chronic cough due to gastroesophageal reflux disease: failure to resolve despite total/near-total elimination of esophageal acid. Chest. 2002, 121: 1132-1140. 10.1378/chest.121.4.1132.CrossRefPubMed
82.
go back to reference Ziora D, Jarosz W, Dzielicki J, Ciekalski J, Krzywiecki A, Dworniczak S, Kozielski J: Citric acid cough threshold in patients with gastroesophageal reflux disease rises after laparoscopic fundoplication. Chest. 2005, 128: 2458-2464. 10.1378/chest.128.4.2458.CrossRefPubMed Ziora D, Jarosz W, Dzielicki J, Ciekalski J, Krzywiecki A, Dworniczak S, Kozielski J: Citric acid cough threshold in patients with gastroesophageal reflux disease rises after laparoscopic fundoplication. Chest. 2005, 128: 2458-2464. 10.1378/chest.128.4.2458.CrossRefPubMed
83.
go back to reference Mainie I, Tutuian R, Agrawal A, Hila A, Highland KB, Adams DB, Castell DO: Fundoplication eliminates chronic cough due to non-acid reflux identified by impedance ph monitoring. Thorax. 2005, 60: 521-523. 10.1136/thx.2005.040139.PubMedCentralCrossRefPubMed Mainie I, Tutuian R, Agrawal A, Hila A, Highland KB, Adams DB, Castell DO: Fundoplication eliminates chronic cough due to non-acid reflux identified by impedance ph monitoring. Thorax. 2005, 60: 521-523. 10.1136/thx.2005.040139.PubMedCentralCrossRefPubMed
84.
go back to reference Tutuian R, Mainie I, Agrawal A, Adams D, Castell DO: Nonacid reflux in patients with chronic cough on acid-suppressive therapy. Chest. 2006, 130: 386-391. 10.1378/chest.130.2.386.CrossRefPubMed Tutuian R, Mainie I, Agrawal A, Adams D, Castell DO: Nonacid reflux in patients with chronic cough on acid-suppressive therapy. Chest. 2006, 130: 386-391. 10.1378/chest.130.2.386.CrossRefPubMed
85.
go back to reference Thoman DS, Hui TT, Spyrou M, Phillips EH: Laparoscopic antireflux surgery and its effect on cough in patients with gastroesophageal reflux disease. J Gastrointest Surg. 2002, 6: 17-21. 10.1016/S1091-255X(01)00013-0.CrossRefPubMed Thoman DS, Hui TT, Spyrou M, Phillips EH: Laparoscopic antireflux surgery and its effect on cough in patients with gastroesophageal reflux disease. J Gastrointest Surg. 2002, 6: 17-21. 10.1016/S1091-255X(01)00013-0.CrossRefPubMed
Metadata
Title
The oesophagus and cough: laryngo-pharyngeal reflux, microaspiration and vagal reflexes
Authors
Jaclyn A Smith
Lesley A Houghton
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Cough / Issue 1/2013
Electronic ISSN: 1745-9974
DOI
https://doi.org/10.1186/1745-9974-9-12

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