This study by Hoppo and colleagues1 stresses many important aspects of the diagnosis and treatment of patients with chronic cough of unknown origin.
It is time that the medical community recognizes that there is a link between the esophagus and the lung. Until new medications that restore the competence of the lower esophageal sphincter are available, antireflux surgery should be considered in carefully studied and selected patients with respiratory symptoms secondary to reflux.
Patti MG. Antireflux Surgery, a Cough Medicine Difficult to Swallow for Most Physicians: Comment on “Antireflux Surgery in Patients With Chronic Cough and Abnormal Proximal Exposure as Measured by Hypopharyngeal Multichannel Intraluminal Impedance”. JAMA Surg. 2013;148(7):615–616. doi:10.1001/jamasurg.2013.1387
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