[Diagnosis management of gastroesophageal reflux disease in adults]

Diagnosis management of gastroesophageal reflux disease in adults. Gastroesophageal reflux (GERD) is a common disease that can however impair quality of life. A diagnostic algorithm was established by the French societies of gastroenterology based on clinical manifestations. In the absence of warning signs, the diagnosis of GERD is based on patient's history of a typical symptomatology. In other cases, an upper digestive endoscopy has to be performed, associated or not with a 24-hours pH monitoring. Concerning proton pump inhibitors resistant reflux, impedance pH monitoring is the exam of choice to highlight non acid reflux. A baseline esophageal manometry is recommended in the preoperative assessment for GERD surgery.