ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Diet Therapy an Effective Alternative to Medication in Some Patients with Laryngopharyngeal Reflux

by Linda Kossoff • October 18, 2022

  • Tweet
  • Email
Print-Friendly Version

How effective is a low-fat, low-quick-release sugar, high-protein, alkaline, and plant-based diet as a single treatment for patients with laryngopharyngeal reflux (LPR)?

BOTTOM LINE

You Might Also Like

No related posts.

Explore This Issue
October 2022

A low-fat, low-quick-release sugar, high-protein, alkaline, and plant-based diet is an alternative cost effective therapeutic approach for patients with LPR.

BACKGROUND: Laryngopharyngeal reflux is an inflammatory condition whose etiology is poorly understood. However, diet may play a role in the occurrence of esophageal dysmotility, sphincter insufficiency, and related pharyngeal reflux events. Most otolaryngologists treat patients with suspected LRP with proton pump inhibitors, but these have associated health risks.

STUDY DESIGN: Crossover observational study.

SETTING: Department of Otolaryngology–Head and Neck Surgery, Foch Hospital, School of Medicine, University Paris Saclay, Paris, France.

SYNOPSIS: From December 2019 to June 2021, researchers prospectively recruited patients from the reflux clinics of three hospitals. Patients with symptoms and signs of LPR received 24-hour hypopharyngeal-esophageal multichannel intraluminal impedance-pH-monitoring off of acid-suppressive medication. Those with heartburn or gastroesophageal reflux disease and elderly individuals received upper glycemic index endoscopy to detect other conditions. Patients diagnosed with LPR were instructed to follow a low-fat, low-quick-release sugar, high-protein, alkaline, and plant-based diet for six to 12 weeks. Pre- to post-treatment symptoms and changes were evaluated with reflux symptom score and reflux sign assessment. Diet was evaluated with refluxogenic diet scores. Of the 50 patients who completed the study (31 females, mean age 52.3 years), 37 (74%) reported significant symptom improvement or relief at six weeks post-diet. Moreover, 27 patients of the 37 who had improved at six weeks showed continuing improvement from six to 12 weeks. Both diet and stress (the latter assessed via a 10-point Likert scale) were predictive of symptom severities at baseline and throughout treatment. Study limitations included a lack of placebo or control intervention.

CITATION: Lechien JR, Crevier-Buchman L, Distinguin L, et al. Is diet sufficient as laryngopharyngeal reflux treatment? Laryngoscope. 2022;132:1916–1923.

Filed Under: Laryngology, Laryngology, Literature Reviews, Practice Focus Tagged With: clinical research, Laryngopharyngeal reflux, treatmentIssue: October 2022

You Might Also Like:

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Second Victims: The Effects of a Medical Error on Physicians Can Be Devastating
    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?
    • Keeping Watch for Skin Cancers on the Head and Neck
    • Complications for When Physicians Change a Maiden Name
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?
    • Vertigo in the Elderly: What Does It Mean?
    • What Happens to Medical Students Who Don’t Match?
    • Complications for When Physicians Change a Maiden Name
    • Qualitative Research Shows How Patients Feel About Quality-of-Life Issues
    • How to: A Dynamic Endonasal Columellar Strut Placement
    • Second Victims: The Effects of a Medical Error on Physicians Can Be Devastating
    • Advanced Degrees Can Help Otolaryngologists Better Understand the Business of Medicine
    • Laser Laryngeal Surgery Is Safe Under THRIVE

Polls

Have you ever been, or have you ever known someone who has been a second victim?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2023 The Triological Society. All Rights Reserved.
ISSN 1559-4939