Medical treatment may improve sleep apnea syndrome due to non acid GERD: Case report
Carlos O'Connor-Reina and colleagues from the Otorhinolaryngology Department, Hospital Quiron Salud Marbella, Marbella, Spain have recently studied a case report where they found out that non-acid gastroesophageal reflux disease (GERD) can be a potential cause of obstructive sleep apnea syndrome in some patients and that medical treatment should be considered prior to surgery.
The report has been published in the Journal of Otolaryngology- Head and Neck Surgery.
Non-acid reflux is defined as gastroesophageal reflux disease episodes resulting in an esophageal pH drop to ~ 4.0. It is associated with refractory reflux symptoms in gastroesophageal reflux disease with proton-pump inhibitor (PPI) failure and other extraesophageal symptoms, including coughing.
The authors studied 54-year-old man where drug induced sleep endoscopy was helpful to suspect a non-acid reflux disease and showed a marked improvement in a swollen epiglottis after treatment. The patient ameliorated significantly his disease only with medical therapy.
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