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Case Reports

Idiopathic Tracheal Stenosis: Successful Outcome With Antigastroesophageal Reflux Disease Therapy

^a Division of Thoracic Surgery, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil
^b Division of Gastroenterology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil

Accepted for publication October 8, 2007.

^_* Address corrrespondence to Dr Terra, Al. Fernão Cardim 161, ap. 61, São Paulo, SP CEP 01403-020, Brazil (Email: rmterra{at}uol.com.br).

There is controversial evidence that gastroesophageal reflux disease (GERD) is an etiologic factor for idiopathic laryngotracheal stenosis. We present the case of a 44-year-old woman with symptomatic tracheal stenosis managed as idiopathic stenosis. She underwent six endoscopic dilations during 1 year, and before surgery she underwent 24-hour esophageal pH monitoring that documented GERD. Anti-GERD treatment was started, which was confirmed as effective with 24-hour esophageal pH monitoring 3 months later. At 2-year follow-up the patient remained free of symptoms and no additional airway procedure was necessary. A close relationship between anti-GERD therapy and clinical outcome was noted.