Adalberto Pacheco
Pneumology Service at the Ramon
Madrid
Spain
Title: COPD-Asthma and Gastro esophageal Reflux: A Complex Relationship
Biography
Biography: Adalberto Pacheco
Abstract
The relationship between COPD, asthma and gastroesophageal reflux has been the subject of many publications for decades because many epidemiological studies they approve. But still remain obscure mechanisms that explain it chiefly for two reasons, one, the lack of exploration with sufficient statistical power, especially those concerning the physiology of extraesophageal reflux and gastro-esophageal junction and two, the need to understand that by means of mechanism bidirectionality sharp, several vicious circles between the two entities are established. Comorbidities in COPD-asthma, obesity and obstructive sleep apnea probably also involved in the control of asthma having the reflux material as the link. The end result is that COPD-asthma and gastroesophageal reflux are multifactorial entities with many points of connection between them still scarcely analyzed as a whole, which favors that must involve at least three specialties, Pneumology, ENT and Gastroenterology to explore carefully reflux in each COPD or asthmatic patient in order to optimize therapy. In this paper, an update on this relationship be made and future directions of research will target