Abstract
Gastroesophageal' reflux disease (GERD) is a "condition that develops when the reflux of stomach contents causes troublesome symptoms and/or complications". Since the criteria used to define GERD in epidemiological studies differ from the Montreal definition, it is difficult to know the actual prevalence of GERD in the general population. GERD is usually a clinical diagnosis based on a symptom assessment. Testing is reserved for cases in which there are warning signs of complication, atypical symptoms such that the diagnosis is in doubt, an inadequate response to medical treatment, or as a preoperative evaluation to confirm the diagnosis prior to surgical treatment. Histologic examination of distal esophageal mucosal biopsies might increase the diagnostic yield of endoscopy for GERD. Identification of reflux episodes using pH-metry or pH-impedance monitoring is the accepted reference standard for GERD diagnosis.
Original language | English (US) |
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Title of host publication | Evidence-based Gastroenterology and Hepatology |
Publisher | wiley |
Pages | 3-20 |
Number of pages | 18 |
ISBN (Electronic) | 9781119211419 |
ISBN (Print) | 9781119211389 |
DOIs | |
State | Published - Mar 5 2019 |
Keywords
- Clinical diagnosis
- Epidemiological studies
- Gastroesophageal reflux disease
- Surgical treatment
- Symptom assessment
ASJC Scopus subject areas
- General Medicine