GERD: A practical approach
Andrew Young, Mythri Anil Kumar, Prashanthi N. Thota
Abstract
Gastroesophageal reflux disease (GERD) is mainly a clinical diagnosis based on typical symptoms of heartburn and acid regurgitation. Current guidelines indicate that patients with typical symptoms should first try a proton pump inhibitor (PPI). If reflux symptoms persist after 8 weeks on a PPI, endoscopy of the esophagus is recommended, with biopsies taken to rule out eosinophilic esophagitis. This review discusses the evidence for different medical, endoscopic, and surgical therapies and presents a management algorithm.
Topics & Concepts
MedicineGERDHeartburnEosinophilic esophagitisRegurgitation (circulation)Proton-pump inhibitorGastroenterologyRefluxInternal medicineEsophagusEndoscopyDiseaseEsophagitisGeneral surgeryGastroesophageal reflux and treatmentsEosinophilic EsophagitisHelicobacter pylori-related gastroenterology studies