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Shi Q, Wang Y, Zhou J, Li X, Zhao Y, Zhang L, Zhang L. A Novel Laryngopharyngeal Reflux Disease Model for Bama Pigs. J Voice 2024:S0892-1997(24)00022-5. [PMID: 38429118 DOI: 10.1016/j.jvoice.2024.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Revised: 01/31/2024] [Accepted: 02/01/2024] [Indexed: 03/03/2024]
Abstract
OBJECTIVE To develop a novel Laryngopharyngeal Reflux Disease (LPRD) model in Bama pigs through endoscopic cricopharyngeal myotomy. METHODS A total of eight 8-month-old Bama pigs were randomly assigned to either the control or surgery group. Prior to intervention, upper esophageal sphincter (UES) manometry and laryngopharyngeal Dx-pH monitoring were conducted to establish baseline physiological parameters for each pig. Subsequently, the surgery group underwent endoscopic cricopharyngeal myotomy, while the control group did not. Two weeks postintervention, these procedures were repeated to evaluate changes in UES contractility and the occurrence of reflux events. At week eight postsurgery, mucosal tissues from both groups were harvested for histological analysis. Hematoxylin and eosin (H&E) staining was used to assess inflammation, while transmission electron microscopy (TEM) examined alterations in intercellular spaces and desmosomes. RESULTS The mean UES pressures in the control and surgery groups were 59 ± 9 mmHg and 68 ± 12 mmHg, respectively. In the surgery group, there was a significant decrease in UES pressure 2weeks after the operation compared to preoperative values (P = 0.005), whereas no significant change was observed in the control group (P = 0.488). Laryngopharyngeal reflux (LPR) was successfully induced in the surgery group as evidenced by reflux events with pH <5.0, which were not detected in the control group. HE staining revealed marked inflammatory cell infiltration and submucosal gland expansion in throat tissues of the surgery group Bama pigs. TEM further showed enlarged intercellular spaces and reduced desmosome numbers in the laryngopharyngeal epithelium compared to controls. CONCLUSION Given analogous throat epithelial structures to humans, Bama pigs are an appropriate species for an LPRD animal model. Endoscopic cricopharyngeal myotomy effectively induces LPR and observable pathological changes in Bama pigs, providing a valuable platform for further research into LPRD pathophysiology.
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Affiliation(s)
- Qingyang Shi
- Department of Otorhinolaryngology, Head and Neck Surgery, Peking University People's Hospital, Beijing, China
| | - Yuguang Wang
- Department of Otorhinolaryngology, Head and Neck Surgery, Peking University People's Hospital, Beijing, China
| | - Jiahui Zhou
- Department of Otorhinolaryngology, Head and Neck Surgery, Peking University People's Hospital, Beijing, China
| | - Xueshi Li
- Department of Otorhinolaryngology, Head and Neck Surgery, Peking University People's Hospital, Beijing, China
| | - Yixin Zhao
- Department of Otorhinolaryngology, Head and Neck Surgery, Peking University People's Hospital, Beijing, China
| | - Lihong Zhang
- Department of Otorhinolaryngology, Head and Neck Surgery, Peking University People's Hospital, Beijing, China.
| | - Liming Zhang
- Endoscopy Center, Peking University People's Hospital, Beijing, China
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Wang JY, Peng T, Zhao LL, Feng GJ, Liu YL. Poor consistency between reflux symptom index and laryngopharyngeal pH monitoring in laryngopharyngeal reflux diagnosis in Chinese population. ANNALS OF TRANSLATIONAL MEDICINE 2021; 9:25. [PMID: 33553318 PMCID: PMC7859794 DOI: 10.21037/atm-20-4783] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Background It is unknown whether the reflux symptom index (RSI) can replace pH monitoring as a diagnostic tool for laryngopharyngeal reflux (LPR) in Chinese people. The relationships between reflux parameters and LPR symptoms also require further research. Methods A total of 216 Chinese patients underwent laryngopharyngeal pH monitoring and filled out an RSI questionnaire. Laryngopharyngeal pH monitoring indicated a diagnosis of LPR for patients with 7 or more episodes of reflux or a reflex area index (RAI) of 6.3 or more. The RSI questionnaire indicated a diagnosis of LPR for patients with RSI scores of 14 or higher. Results Of the 216 patients, 85 were diagnosed with LPR as assessed by the RSI, and 72 were diagnosed with LPR through laryngopharyngeal pH monitoring. The Cohen's kappa coefficient comparing LPR diagnosis consistency between RSI score and laryngopharyngeal pH monitoring was 0.133 (P=0.007). This indicated the two diagnostic methods were consistent to a low degree; the total consistency rate was only 59.7% (129/216). The sensitivity of the RSI was 48.6% (35/72), and its specificity was 82.5% (94/114). For convenience, we named the nine symptom groups in the RSI sequentially as P1-P9. P1, P2, P3, P5, P6, and P7 were all correlated with at least one reflux parameter (P<0.05), but P4, P8, and P9 were not correlated with any reflux parameters (P>0.05). A total of 72 patients were diagnosed using pH monitoring, the gold standard for LPR diagnosis. The most common symptoms of LPR were found to be P9, P3, P8, P7, and P2 in these patients. The symptoms that most seriously affected patients were P9, P8, P3, P7, and P2. Conclusions The consistency in diagnosis of LPR between the RSI and laryngopharyngeal pH monitoring was poor, meaning the RSI is not a suitable LPR initial screening tool and cannot replace pH monitoring. Additionally, reflux symptoms P4, P8, and P9 were not correlated with any reflux parameters. The most prevalent LPR symptom was P9, followed by P3, P8, P7, and P2. The most severe symptom was also P9, followed by P8, P3, P7, and P2.
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Affiliation(s)
- Jun-Yao Wang
- Department of Gastroenterology, Peking University People's Hospital, Beijing, China
| | - Tao Peng
- Department of Gastroenterology, Peking University People's Hospital, Beijing, China
| | - Li-Li Zhao
- Department of Gastroenterology, Peking University People's Hospital, Beijing, China
| | - Gui-Jian Feng
- Department of Gastroenterology, Peking University People's Hospital, Beijing, China
| | - Yu-Lan Liu
- Department of Gastroenterology, Peking University People's Hospital, Beijing, China
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Wu Y, Wang J, Huang Q, Peng T, Zhao L, Feng G, Liu Y. The Relationship Between Gastroesophageal Reflux Disease and Laryngopharyngeal Reflux Based on pH Monitoring. EAR, NOSE & THROAT JOURNAL 2020; 100:249-253. [PMID: 33170043 DOI: 10.1177/0145561320971915] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVES Many studies on the relationship between gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) were based on symptoms, but there are few research on it using reflux monitoring. This study was designed to investigate the relationship between GERD and LPR based on pH monitoring. METHODS All patients were scheduled for esophageal manometry and pH monitoring sequentially. They were stratified into 4 groups as no reflux disease, isolated GERD, isolated LPR (iLPR), and GERD combined with LPR (GERD&LPR) according to pH monitoring. RESULTS The incidence of LPR in GERD was 46.3%, while the probability of combining GERD in LPR was 52.7%. The reflux profile in the laryngopharynx showed a significant difference in the total reflux time (17.82 ± 18.4 vs 9.62 ± 9.58, P = .023) and the percentage of total reflux time (1.31% ± 1.37% vs 0.71% ± .0.73%, P = .023) between the GERD&LPR and iLPR groups. CONCLUSION Laryngopharyngeal reflux can be combined with GERD or it can exist as an independent diagnosis. In patients with GERD&LPR, the total reflux time and the percentage of reflux time in the laryngopharynx are higher than those in the iLPR group. Reflux episodes in the laryngopharynx of patients with GERD&LPR may be derived from GERD.
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Affiliation(s)
- Yun Wu
- Department of Gastroenterology, 71185Peking University People's Hospital, Beijing, China
| | - Junyao Wang
- Department of Gastroenterology, 71185Peking University People's Hospital, Beijing, China
| | - Qing Huang
- Department of Gastroenterology, 71185Peking University People's Hospital, Beijing, China
| | - Tao Peng
- Department of Gastroenterology, 71185Peking University People's Hospital, Beijing, China
| | - Lili Zhao
- Department of Gastroenterology, 71185Peking University People's Hospital, Beijing, China
| | - Guijian Feng
- Department of Gastroenterology, 71185Peking University People's Hospital, Beijing, China
| | - Yulan Liu
- Department of Gastroenterology, 71185Peking University People's Hospital, Beijing, China
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A new approach to vocal cord leukoplakia and evaluation of proton pump ınhibitor treatment. Eur Arch Otorhinolaryngol 2019; 276:467-471. [DOI: 10.1007/s00405-018-05273-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2018] [Accepted: 12/26/2018] [Indexed: 12/18/2022]
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Li DP, Zhang WH, Yang ML, Liu CB, Zhang X, Cai C, Li JJ. An Improved Urethral Catheterization in Female Pigs: A Pilot Study. Chin Med J (Engl) 2018; 130:1880-1881. [PMID: 28748864 PMCID: PMC5547843 DOI: 10.4103/0366-6999.211540] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Da-Peng Li
- School of Rehabilitation Medicine, Capital Medical University, Beijing 100068; Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing 100068; Department of Spinal and Neural Function Reconstruction, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068; Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China
| | - Wen-Hao Zhang
- School of Rehabilitation Medicine, Capital Medical University, Beijing 100068; Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing 100068; Department of Spinal and Neural Function Reconstruction, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068; Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China
| | - Ming-Liang Yang
- School of Rehabilitation Medicine, Capital Medical University, Beijing 100068; Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing 100068; Department of Spinal and Neural Function Reconstruction, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068; Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China
| | - Chang-Bin Liu
- School of Rehabilitation Medicine, Capital Medical University, Beijing 100068; Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing 100068; Department of Spinal and Neural Function Reconstruction, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068; Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China
| | - Xin Zhang
- School of Rehabilitation Medicine, Capital Medical University, Beijing 100068; Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing 100068; Department of Spinal and Neural Function Reconstruction, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068; Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China
| | - Chang Cai
- School of Rehabilitation Medicine, Capital Medical University, Beijing 100068; Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing 100068; Department of Spinal and Neural Function Reconstruction, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068; Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China
| | - Jian-Jun Li
- School of Rehabilitation Medicine, Capital Medical University, Beijing 100068; Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing 100068; Department of Spinal and Neural Function Reconstruction, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068; Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China
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Yang J, Dai L, Yu Q, Yang Q. Histological and anatomical structure of the nasal cavity of Bama minipigs. PLoS One 2017; 12:e0173902. [PMID: 28339502 PMCID: PMC5365122 DOI: 10.1371/journal.pone.0173902] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Accepted: 02/28/2017] [Indexed: 12/23/2022] Open
Abstract
Objective The nasal mucosa is equipped with abundant lymphatic tissues, serving as the first line of defense against invasion by microorganisms. In this study, we characterized the features of the nasal mucosa of Bama minipigs (Sus scrofa domestica) via histological analysis. Methods Five cross sections (I, II, III, IV, and V) were obtained from the distal end of the nasal cavity toward the pharynx (along the cavity axis) and examined. Specifically, CD3+ T cells, immunoglobulin A (IgA)+ cells, and M cells were detected by immunohistochemistry, while dendritic cells (DCs) were detected by immunofluorescence. The distribution of goblet cells was determined by periodic acid-Schiff (PAS) staining. Results The nasal cavity of Bama minipigs can be divided into three parts: the regio vestibularis (I, II), regio respiratoria (III, IV), and regio olfactoria (V). Lymphoid tissue was present at random locations in the nasal cavity. Abundant lymphoid tissue was located in the roof of the nasopharyngeal meatus and was continuous with the lymphoid tissue of the pharynx. The distribution of CD3+ T cells, IgA+ cells, M cells, and DCs increased distally in the nasal cavity. Conclusions The present work comprises a histological study of the nasal cavity of Bama minipigs, and will be beneficial for understanding the mechanisms of immunity in these animals after nasal vaccination.
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Affiliation(s)
- Jingjing Yang
- Veterinary College, Nanjing Agricultural University, Weigang 1, Nanjing, Jiangsu, PR China
| | - Lei Dai
- Veterinary College, Nanjing Agricultural University, Weigang 1, Nanjing, Jiangsu, PR China
| | - Qinghua Yu
- Veterinary College, Nanjing Agricultural University, Weigang 1, Nanjing, Jiangsu, PR China
| | - Qian Yang
- Veterinary College, Nanjing Agricultural University, Weigang 1, Nanjing, Jiangsu, PR China
- * E-mail:
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