. "Extraesophageal Reflux (Part 1) Epidemiology, Pathophysiology and Diagnostics"@en . "S" . "Extraezogen\u00E1ln\u00EDm reflexem (EER) naz\u00FDv\u00E1me reflux (duodeno) gastrick\u00E9ho obsahu nad \u00FArove\u0148 horn\u00EDho j\u00EDcnov\u00E9ho sv\u011Bra\u010De. V posledn\u00EDch letech byla prok\u00E1z\u00E1na jeho mo\u017En\u00E1 \u00FAloha v patogenezi mnoha ORL nemoc\u00ED jako jsou zadn\u00ED laryngitida, hlasivkov\u00E9 uzl\u00EDky, paroxysm\u00E1ln\u00ED laryngospasmus , Reinkeho ed\u00E9m, granulomy hlasivek, globus pharyngeus, subglotick\u00E1 a trache\u00E1ln\u00ED sten\u00F3za. Krom\u011B toho nejnov\u011Bj\u0161\u00ED v\u00FDzkumy nazna\u010Duj\u00ED, \u017Ee EER by mohl hr\u00E1t roli tak\u00E9 p\u0159i vzniku chronick\u00E9 rinosinusitidy, chronick\u00FDch st\u0159edou\u0161n\u00EDch z\u00E1n\u011Bt\u016F, chr\u00E1p\u00E1n\u00ED a laryngofarynge\u00E1ln\u00EDho karcinomu. Dokazov\u00E1n\u00ED kauz\u00E1ln\u00ED souvislosti je v\u0161ak slo\u017Eit\u00E9, proto\u0159e neexistuje jednoduch\u00FD a spolehliv\u00FD diagnostick\u00FD n\u00E1stroj. V tomto souhrn\u00E9m \u010Dl\u00E1nku auto\u0159i uv\u00E1d\u011Bj\u00ED nejnov\u011Bj\u0161\u00ED poznatky z patogeneze a diagnostiky extraezofage\u00E1ln\u00EDho refluxu a uzav\u00EDraj\u00ED, \u017Ee i p\u0159es nejednotnost v interpretaci v\u00FDsledk\u016F z\u016Fst\u00E1v\u00E1 ambulantn\u00ED 2\u010D hodinov\u00E1 dvoukan\u00E1lov\u00E1 pH-metrie zlat\u00FDm diagnostick\u00FDm standardem." . "Extraezoge\u00E1ln\u00ED reflux (1. \u010D\u00E1st) Epidemiologie, patofyziologie a diagnostika" . . "1"^^ . . "Zelen\u00EDk, Karol" . "4"^^ . "RIV/61989592:15110/08:00007594!RIV09-MSM-15110___" . "Extraezogen\u00E1ln\u00EDm reflexem (EER) naz\u00FDv\u00E1me reflux (duodeno) gastrick\u00E9ho obsahu nad \u00FArove\u0148 horn\u00EDho j\u00EDcnov\u00E9ho sv\u011Bra\u010De. V posledn\u00EDch letech byla prok\u00E1z\u00E1na jeho mo\u017En\u00E1 \u00FAloha v patogenezi mnoha ORL nemoc\u00ED jako jsou zadn\u00ED laryngitida, hlasivkov\u00E9 uzl\u00EDky, paroxysm\u00E1ln\u00ED laryngospasmus , Reinkeho ed\u00E9m, granulomy hlasivek, globus pharyngeus, subglotick\u00E1 a trache\u00E1ln\u00ED sten\u00F3za. Krom\u011B toho nejnov\u011Bj\u0161\u00ED v\u00FDzkumy nazna\u010Duj\u00ED, \u017Ee EER by mohl hr\u00E1t roli tak\u00E9 p\u0159i vzniku chronick\u00E9 rinosinusitidy, chronick\u00FDch st\u0159edou\u0161n\u00EDch z\u00E1n\u011Bt\u016F, chr\u00E1p\u00E1n\u00ED a laryngofarynge\u00E1ln\u00EDho karcinomu. Dokazov\u00E1n\u00ED kauz\u00E1ln\u00ED souvislosti je v\u0161ak slo\u017Eit\u00E9, proto\u0159e neexistuje jednoduch\u00FD a spolehliv\u00FD diagnostick\u00FD n\u00E1stroj. V tomto souhrn\u00E9m \u010Dl\u00E1nku auto\u0159i uv\u00E1d\u011Bj\u00ED nejnov\u011Bj\u0161\u00ED poznatky z patogeneze a diagnostiky extraezofage\u00E1ln\u00EDho refluxu a uzav\u00EDraj\u00ED, \u017Ee i p\u0159es nejednotnost v interpretaci v\u00FDsledk\u016F z\u016Fst\u00E1v\u00E1 ambulantn\u00ED 2\u010D hodinov\u00E1 dvoukan\u00E1lov\u00E1 pH-metrie zlat\u00FDm diagnostick\u00FDm standardem."@cs . "[B8B231954F04]" . . "8"^^ . . . . "Extraesophageal Reflux (Part 1) Epidemiology, Pathophysiology and Diagnostics"@en . . "gastroesophageal reflux; extraesophageal reflux; otolaryngologic manifestation; pathophysiology; diagnostics"@en . . "Kom\u00EDnek, Pavel" . . . "Extraezoge\u00E1ln\u00ED reflux (1. \u010D\u00E1st) Epidemiologie, patofyziologie a diagnostika" . "Otorinolaryngologie a foniatrie" . "RIV/61989592:15110/08:00007594" . "1210-7867" . "Extraezoge\u00E1ln\u00ED reflux (1. \u010D\u00E1st) Epidemiologie, patofyziologie a diagnostika"@cs . "Extraesophageal reflux refers to reflux of the (duodeno) gastrin content thatreaches structures superior to the level of the upper esophageal sphincter. It has been implicated in the pathogenesis of several otolaryngological disorders,including posterior laryngitis, vocal folds nodules, paroxysmal laryngospasm, Reinke\u00B4s edema, vocal fold ulcers and granuloma, globus pharyngeus, subglottic and laryngotracheal stenosis. Moreover, recent investigations indicie, that it can play a role in chronic rhinosinusitis, chronic ear complaints, snoring and laryngopharyngeal . Because of nonexisting simple and effective diagnostic instrument, cause-and-effect relationship is far from proven.The review sumarizes this controversial topic emphasizing recent investigation results regarding pathogenesis and diagnostic procedures. In spite of the lack of consensus concerning interpetation criteria,24hour pH-metry still remains the gold diagnostic tool."@en . . "57" . "367498" . . . . "Extraezoge\u00E1ln\u00ED reflux (1. \u010D\u00E1st) Epidemiologie, patofyziologie a diagnostika"@cs . . "CZ - \u010Cesk\u00E1 republika" . "Machytka, E." . "St\u00E1rek, Ivo" . "3" . "15110" .