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[Gastroesophageal reflux disease].

H Gräter1

  • 1Klinik für Onkologie, Gastroenterologie und Aligemeine Innere Medizin, Städtische Kliniken Esslingen.

Praxis
|December 16, 2005
PubMed
Summary

Gastroesophageal reflux disease (GERD) presents with typical and atypical symptoms, affecting the esophagus and beyond. Diagnosis and treatment, including proton pump inhibitors (PPIs) and surgery, depend on endoscopic findings and patient factors.

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[Gastroesophageal reflux disease--extraesophageal manifestations].

Praxis·1998

Area of Science:

  • Gastroenterology and Digestive Health
  • Esophageal and Extraesophageal Manifestations of GERD

Context:

  • Gastroesophageal reflux disease (GERD) encompasses a spectrum of esophageal and extraesophageal conditions.
  • Symptoms range from typical heartburn and acid regurgitation to atypical presentations like hoarseness and chronic cough.

Purpose:

  • To outline diagnostic strategies for GERD, emphasizing endoscopy for elderly and atypical cases.
  • To describe therapeutic approaches for GERD, including proton pump inhibitors (PPIs) and anti-reflux surgery.
  • To highlight the precancerous nature of Barrett's esophagus and the need for surveillance.

Summary:

  • Endoscopy is crucial for diagnosing GERD in elderly patients and those with atypical symptoms.
  • Proton pump inhibitors (PPIs) are the primary medical treatment for most GERD issues.
  • Anti-reflux surgery is reserved for select patients, while Barrett's esophagus requires ongoing surveillance.

Impact:

  • Informs clinical decision-making for GERD diagnosis and management.
  • Underscores the importance of endoscopic surveillance for Barrett's esophagus to prevent cancer.
  • Guides the selection of appropriate treatments based on individual patient needs and endoscopic findings.

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