Table 1 .
Summary of diagnosis and criteria for fundoplication in the included studies
Study | Diagnosis of LPR | Criteria for fundoplicationa |
---|---|---|
Carroll et al (2016)33 | Symptoms of LPR and RSI >13 | Diagnosis of LPR Symptoms refractory to at least 3 months high-dose BD PPI Had evidence of reflux with impedance testing No motility disorder on manometry |
Catania et al (2007)29 | Symptoms consistent with LPR and RSI >19 FNE-proven laryngeal irritation 3 or more episodes of pharyngeal acid reflux or positive deMeester score on distal probe |
Diagnosis of LPR Primary aim of surgery was resolution of LPR symptoms |
Iqbal et al (2008)22 | Diagnosis made by ENT surgeon – criteria not specified | Diagnosis of LPR |
Ogut et al (2007)30 | Not specified | GORD, RSI >14 |
Sahin et al (2015)27 | Laryngeal symptoms, RSI >13 and RFS >7 | Responded to daily PPI therapy Had at least one of heartburn and/or regurgitation |
Suzuki et al (2017)34 | Laryngeal symptoms | Diagnosis of LPR |
Weitzendorfer et al (2017)31 | Not specified | Ongoing LPR symptoms despite 6 months of PPI |
Westcott et al (2004)32 | Not specified | Incomplete clinical response to medication Medication intolerance, reflux-associated cancer or recurrent leucoplakia, reflux-associated subglottic stenosis, or patient desire for operative therapy in lieu of medical management |
Zhang et al (2017)22 | Laryngeal symptoms and positive pharyngeal pH testing | Diagnosis of LPR |
LPR = laryngopharyngeal reflux; BD = twice daily; PPI = proton pump inhibitor; FNE = functional nasoendoscopy; ENT = ear nose and throat (otolaryngology); GORD = gastro-oesophageal reflux disease
a All patients underwent fundoplication only if there was objective evidence of reflux identified by 24-h ambulatory pH or multichannel intraluminal impedance–pH monitoring or erosive esophagitis