Year : 2018 | Volume
: 31 | Issue : 2 | Page : 703--707
Prevalence of interstitial lung disease in patients with gastroesophageal reflux disease
Lamia I Atwa1, Hisham S Abd Elaaty1, Ibrahim I EL-Mahallawy1, Ayman M EI-Lehleh2, Sami S. A . Eldahdouh1
1 Chest Departement, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt
2 Tropical Medicine Department, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt
The aim of the study was to investigate the prevalence of interstitial lung diseases in patients with gastroesophageal reflux disease (GERD) and to show the correlation between them.
Interstitial lung diseases are a common complication in patients with GERD because of repeated aspiration of gastric acid.
Patient and methods
One hundred patients with GERD (25 patients with GERD grade A, 25 patients with GERD grade B, 25 patients with GERD grade C, and 25 patients with GERD grade D) with no past history of pulmonary diseases, collagen vascular diseases, chronic liver diseases, or ascites were enrolled in this study. All patients were subjected to the following after obtaining their oral consent for participation: complete medical history, examination, laboratory investigations, upper gastrointestinal endoscopy, radiological investigation [plain chest radiography and chest high-resolution computed tomography (HRCT)], and pulmonary function tests [spirometry and diffusing lung capacity of carbon monoxide (DLCO)].
When the severity of GERD increased the mean percentage of DLCO decreased (patients with GERD grade D had the lowest DLCO (75.4 ± 26.8). There was a statistically significant negative correlation between the grades of GERD, DLCO, and forced vital capacity%. There was a highly statistically significant difference as regards grades of GERD in relation to chest HRCT results (P < 0.001) and a statistically significant positive correlation between chest HRCT and grades of GERD (when the grade of GERD increased, the degree of ILD patterns in chest HRCT increased).
The present data support and extend the theory of a high incidence of pulmonary involvement in GERD patients even in those patients free of respiratory symptoms.
Lamia I Atwa
Shebin El-Kom Chest Hospital, Shebin El-Kom
|How to cite this article:|
Atwa LI, Abd Elaaty HS, EL-Mahallawy II, EI-Lehleh AM, Eldahdouh SS. Prevalence of interstitial lung disease in patients with gastroesophageal reflux disease.Menoufia Med J 2018;31:703-707
|How to cite this URL:|
Atwa LI, Abd Elaaty HS, EL-Mahallawy II, EI-Lehleh AM, Eldahdouh SS. Prevalence of interstitial lung disease in patients with gastroesophageal reflux disease. Menoufia Med J [serial online] 2018 [cited 2020 Apr 2 ];31:703-707
Available from: http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2018;volume=31;issue=2;spage=703;epage=707;aulast=Atwa;type=0