Movatterモバイル変換


[0]ホーム

URL:


Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
Thehttps:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

NIH NLM Logo
Log inShow account info
Access keysNCBI HomepageMyNCBI HomepageMain ContentMain Navigation
pubmed logo
Advanced Clipboard
User Guide

Full text links

Baishideng Publishing Group Inc. full text link Baishideng Publishing Group Inc. Free PMC article
Full text links

Actions

Review
.2012 May 28;18(20):2462-71.
doi: 10.3748/wjg.v18.i20.2462.

Globus pharyngeus: a review of its etiology, diagnosis and treatment

Affiliations
Review

Globus pharyngeus: a review of its etiology, diagnosis and treatment

Bong Eun Lee et al. World J Gastroenterol..

Abstract

Globus is a persistent or intermittent non-painful sensation of a lump or foreign body in the throat. It is a commonly encountered clinical condition that is usually long-lasting, difficult to treat, and has a tendency to recur. Furthermore, due to the uncertain etiology of globus, it remains difficult to establish standard investigation and treatment strategies for affected patients. As a first step for managing globus, careful history taking and nasolaryngoscopy are essential. Given the benign nature of the condition and the recent notion that gastroesophageal reflux disease is a major cause of globus, empirical therapy with a high dose of proton pump inhibitors is reasonable for patients with typical globus. If patients are nonresponsive to this therapy, definitive assessments such as endoscopy, multichannel intraluminal impedance/pH monitoring, and manometry should be considered. Speech and language therapy, anti-depressants, and cognitive-behavioral therapy can be helpful in patients whose symptoms persist despite negative investigations.

Keywords: Diagnosis; Gastroesophageal reflux disease; Globus; Proton pump inhibitor; Treatment.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Algorithm for management of globus. GERD: Gastroesophageal reflux disease; PPI: Proton pump inhibitor; MII: Multichannel intraluminal impedance.
See this image and copyright information in PMC

References

    1. Galmiche JP, Clouse RE, Bálint A, Cook IJ, Kahrilas PJ, Paterson WG, Smout AJ. Functional esophageal disorders. Gastroenterology. 2006;130:1459–1465. - PubMed
    1. Moloy PJ, Charter R. The globus symptom. Incidence, therapeutic response, and age and sex relationships. Arch Otolaryngol. 1982;108:740–744. - PubMed
    1. Drossman DA, Li Z, Andruzzi E, Temple RD, Talley NJ, Thompson WG, Whitehead WE, Janssens J, Funch-Jensen P, Corazziari E. U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci. 1993;38:1569–1580. - PubMed
    1. Batch AJ. Globus pharyngeus (Part I) J Laryngol Otol. 1988;102:152–158. - PubMed
    1. Harar RP, Kumar S, Saeed MA, Gatland DJ. Management of globus pharyngeus: review of 699 cases. J Laryngol Otol. 2004;118:522–527. - PubMed

Publication types

MeSH terms

Substances

LinkOut - more resources

Full text links
Baishideng Publishing Group Inc. full text link Baishideng Publishing Group Inc. Free PMC article
Cite
Send To

NCBI Literature Resources

MeSHPMCBookshelfDisclaimer

The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Unauthorized use of these marks is strictly prohibited.


[8]ページ先頭

©2009-2025 Movatter.jp