Worsening of gastroesophageal reflux symptoms in professional singers during performances

Giovanni Cammarota, Fulvia Elia, Rossella Cianci, Jacopo Galli, Nico Paolillo, Massimo Montalto, Giovanni Gasbarrini

Research output: Contribution to journalArticlepeer-review


Professional singers perform singing tasks requiring rapid changes of subglottal pressure with consistent use of the diaphragm. They regularly activate the diaphragm when there is a need for a rapid decrease in subglottal pressure, with an abrupt and prolonged increase in intraabdominal pressure. We describe the occurrence of stress-induced gastroesophageal reflux disease (GERD) in four professional singers. The reflux symptoms, which occurred in these patients during vocal performances, were an important obstacle to the movement of the respiratory muscles. To our knowledge, these are the first case reports of worsening of GERD symptoms in professional singers during performances.

Original languageEnglish
Pages (from-to)403-404
Number of pages2
JournalJournal of Clinical Gastroenterology
Issue number5
Publication statusPublished - May 2003


  • Gastroesophageal reflux disease (GERD)
  • Hiatus hernia
  • Professional singers
  • Vocal performance

ASJC Scopus subject areas

  • Gastroenterology


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