抄録
Recently attention is paid about the relationship between gastroesophageal reflux disease (GERD) and obstructive sleep apnea syndrome (OSAS). So we present an adult case considered to have developed respiratory insufficiency and dysphasia because of suffering from serious GERD and serious OSAS spontaneously. He was 52 years old man diagnosed at childhood as myopathy. He complained dyspnea on effort and sleep apnea from 2001. In May 2003 he hospitalized because of respiratory insufficiency and aspiration pneumonia. The tracheotomy was performed, and respiratory insufficiency was soon recovered. But he began to complain dysphasia after the tracheotomy. The gastric juice reflux to the pharynx was checked, and he was diagnosed GERD. Because dysphasia was not improved by conservative therapy taking proton pomp inhibitor, he was carried out with Nissen fundoplication operation. After the operation he was free from dysphasia, and his trachostoma was soon closed. In April, 2004 polysomnography was carried out to him, and he was diagnosed serious OSAS. At that time, swelling in the larynx and pharynx could not found. So when he was suffering from respiratory insufficiency before the tracheotomy, his OSAS was considered to have been more serious by pharyngeal stenosis caused by GERD.
