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Pharyngeal Localization of Symptoms of Gastroesophageal Reflux

There are a significant number of patients with pharyngeal symptoms in whom the etiology is not discerned. The vague, ill-defined character of these symptoms and normal physical findings often lead to the diagnosis of a functional disorder. The current study summarizes observations made on 12 such patients who presented to an otolaryngologist. All of the patients had negative pharyngeal and otolaryngologic examinations. By the employment of cine radiographic studies of the pharynx and the esophagus, esophageal motility and perfusion studies, the underlying pathology, gastroesophageal reflux and esophagopharyngeal reflux was demonstrated. A subsequent therapeutic response validated the diagnosis of reflux esophagitis.