Efficacy of Potassium-Competitive Acid Blockers to Treat Chronic Cough Associated With “Proven” Laryngopharyngeal Reflux Disease: A Preliminary Study

This preliminary study suggested that three-month P-CAB therapy appears to be a reasonable option for patients with CC and proven LPRD diagnosed by HEMII, even if PPI therapy fails and RSI is normal, however a long-term continuous P-CAB therapy may be required. More than half of patients had normal acid exposure, which may be missed by conventional pH-metry. Since a conventional pH-metry and RSI-based diagnosis of LPRD is insufficient, HEMII may be essential to evaluate patients with CC who are suspicious of LPRD.

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Publication Details

Journal
Cureus
Published
2025-09-19
DOI
https://doi.org/10.7759/cureus.92757
Primary Topic
Gastroesophageal reflux and treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Efficacy of Potassium-Competitive Acid Blockers to Treat Chronic Cough Associated With “Proven” Laryngopharyngeal Reflux Disease: A Preliminary Study

Toyoyuki Hanazawa, Jun Ikari, Tomoaki Matsumura, Syuji Yonekura et al.
Cureus
Gastroesophageal reflux and treatments
article

Efficacy of Potassium-Competitive Acid Blockers to Treat Chronic Cough Associated With “Proven” Laryngopharyngeal Reflux Disease: A Preliminary Study

Toyoyuki Hanazawa, Jun Ikari, Tomoaki Matsumura, Syuji Yonekura, Takeshi Suzuki, Toshitaka Hoppo, Yosuke Seki, Mai Fujie, Tomoya Kurokawa
article en

Abstract

This preliminary study suggested that three-month P-CAB therapy appears to be a reasonable option for patients with CC and proven LPRD diagnosed by HEMII, even if PPI therapy fails and RSI is normal, however a long-term continuous P-CAB therapy may be required. More than half of patients had normal acid exposure, which may be missed by conventional pH-metry. Since a conventional pH-metry and RSI-based diagnosis of LPRD is insufficient, HEMII may be essential to evaluate patients with CC who are suspicious of LPRD.

CureusVol. 17(9)
Chiba University (JP), Johnson University (US), Chiba University Hospital (JP), Yotsuya Medical Cube (JP)
Openalex Percentile: Top 62%
Gastroesophageal reflux and treatments
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Efficacy of Potassium-Competitive Acid Blockers to Treat Chronic Cough Associated With “Proven” Laryngopharyngeal Reflux Disease: A Preliminary Study — Toyoyuki Hanazawa, Jun Ikari, et al. · Cureus (2025) | TGRS Research Map | TGRS