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Table 2 Patients’ GER evaluation at admission, treatment and follow-up

From: Gastroesophageal reflux in Bronchiectasis and the effect of anti-reflux treatment

Case

Treatment

Follow-up

GER symptom

Endoscopy

24-h pH

HRM

Case 1

LF

5-yr.

Evident and progressive daily regurgitation, heartburn and chest pain for 10 years.

LA-B

DMS: 3.04

MUESP: 53.1

MLESP: 14.0

LHPZ: 3.3

Reexamine

 

Asymptomatic

negative

DMS: 1.13

—

Case 2

LF

4-yr.

Occasional regurgitation heartburn and vomiting in cough exacerbations for 5 years.

LA-A; HH

DMS: 136.06

MUESP:59.1

MLESP: 16.2

LHPZ: 4.0

Reexamine

 

Asymptomatic

negative

DMS: 1.40

—

Case 3

LF

4-yr.

Daily regurgitation, heartburn and chest pain since childhood, worsened in resent 2 years.

HH

DMS: 3.89

MUESP: 23.7

MLESP: 7.4

LHPZ: 1.5

Reexamine

 

Asymptomatic

negative

DMS: 2.24

—

Case 4

SRP

2-yr.

Weekly or daily regurgitation and heartburn for 4 years.

negative

DMS:1.93

MUESP: 40.3

MLESP: 24.0

LHPZ: 4.3

Reexamine

 

Asymptomatic

negative

DMS:1.30

—

Case 5

SRP

.2-yr.

Weekly regurgitation, heartburn and chest pain for 20 years

LA-A

DMS: 17.90

MUESP: 22.6

MLESP: 23.1

LHPZ: 3.4

Reexamine

 

Become occasional with daily PPI

LA-A

DMS: 8.45

—

Case 6

LF + SRP

.1-yr.

Occasional regurgitation, belching and heartburn for 10 years.

LA-A; HH

DMS: 19.87

MUESP: 35.5

MLESP: 11.8

LHPZ: 3.0

Reexamine

 

Asymptomatic

negative

DMS: 1.10

—

Case 7

LF

.1-yr.

Occasional heartburn for 10 years.

LA-A

DMS: 60.0

MUESP:63.4

MLESP: 21.0

LHPZ: 4.1

Reexamine

 

Asymptomatic

LA-A

DMS: 2.30

—

  1. HRM, High-resolution manometry; DMS, DeMeester score; LA, Los Angeles classification (LA-A indicates one or more mucosal breaks of ≤5 mm in length, LA-A one or more mucosal breaks of >5 mm); HRM, High-resolution manometry; MUESP, Mean upper esophageal sphincter pressure (Normal range: 34–104 mmHg); MLESP, Mean lower esophageal sphincter pressure (Normal range: 13–43 mmHg); LHPZ, Length of high pressure zone (Normal range: 2.7-4.8 cm), — Not reexamined.