Management of Globus Pharyngeus

Globus pharyngeus is a common ENT condition. This paper reviews the current evidence on globus and gives a rational guide to the management of patients with globus. The aetiology of globus is still unclear though most ENT surgeons believe that reflux whether acidic or not plays a significant role. T...

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Main Authors: S. Kortequee, P. D. Karkos, H. Atkinson, N. Sethi, D. C. Sylvester, R. S. Harar, S. Sood, W. J. Issing
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:International Journal of Otolaryngology
Online Access:http://dx.doi.org/10.1155/2013/946780
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spelling doaj-2e73872399574f909a67394a4fb79d0b2020-11-24T23:20:27ZengHindawi LimitedInternational Journal of Otolaryngology1687-92011687-921X2013-01-01201310.1155/2013/946780946780Management of Globus PharyngeusS. Kortequee0P. D. Karkos1H. Atkinson2N. Sethi3D. C. Sylvester4R. S. Harar5S. Sood6W. J. Issing7Department of Otolaryngology, Bradford Royal Infirmary, Bradford BD9 6RJ, UKDepartment of Otolaryngology, Bradford Royal Infirmary, Bradford BD9 6RJ, UKDepartment of Otolaryngology, Bradford Royal Infirmary, Bradford BD9 6RJ, UKDepartment of Otolaryngology, Pinderfields Hospital, Wakefield WF1 4DG, UKDepartment of Otolaryngology, Bradford Royal Infirmary, Bradford BD9 6RJ, UKDepartment of Otolaryngology, Pinderfields Hospital, Wakefield WF1 4DG, UKDepartment of Otolaryngology, Bradford Royal Infirmary, Bradford BD9 6RJ, UKDepartment of Otolaryngology, The Freeman Hospital, Newcastle upon Tyne NE7 7DN, UKGlobus pharyngeus is a common ENT condition. This paper reviews the current evidence on globus and gives a rational guide to the management of patients with globus. The aetiology of globus is still unclear though most ENT surgeons believe that reflux whether acidic or not plays a significant role. Though proton pump inhibitors are used extensively in practice, there is little evidence to support their efficacy. Most patients with globus can be discharged after simple office investigations. The role of pepsin-induced laryngeal injury is an exciting concept that needs further study. Given the benign nature of globus pharyngeus, in most cases, reassurance rather than treatment or extensive investigation with rigid oesophagoscopy or contrast swallows is all that is needed. We need more research into the aetiology of globus.http://dx.doi.org/10.1155/2013/946780
collection DOAJ
language English
format Article
sources DOAJ
author S. Kortequee
P. D. Karkos
H. Atkinson
N. Sethi
D. C. Sylvester
R. S. Harar
S. Sood
W. J. Issing
spellingShingle S. Kortequee
P. D. Karkos
H. Atkinson
N. Sethi
D. C. Sylvester
R. S. Harar
S. Sood
W. J. Issing
Management of Globus Pharyngeus
International Journal of Otolaryngology
author_facet S. Kortequee
P. D. Karkos
H. Atkinson
N. Sethi
D. C. Sylvester
R. S. Harar
S. Sood
W. J. Issing
author_sort S. Kortequee
title Management of Globus Pharyngeus
title_short Management of Globus Pharyngeus
title_full Management of Globus Pharyngeus
title_fullStr Management of Globus Pharyngeus
title_full_unstemmed Management of Globus Pharyngeus
title_sort management of globus pharyngeus
publisher Hindawi Limited
series International Journal of Otolaryngology
issn 1687-9201
1687-921X
publishDate 2013-01-01
description Globus pharyngeus is a common ENT condition. This paper reviews the current evidence on globus and gives a rational guide to the management of patients with globus. The aetiology of globus is still unclear though most ENT surgeons believe that reflux whether acidic or not plays a significant role. Though proton pump inhibitors are used extensively in practice, there is little evidence to support their efficacy. Most patients with globus can be discharged after simple office investigations. The role of pepsin-induced laryngeal injury is an exciting concept that needs further study. Given the benign nature of globus pharyngeus, in most cases, reassurance rather than treatment or extensive investigation with rigid oesophagoscopy or contrast swallows is all that is needed. We need more research into the aetiology of globus.
url http://dx.doi.org/10.1155/2013/946780
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