Diagnostic Work-Up of GERD

Marcelo F. Vela

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Gastroesophageal reflux disease (GERD) is frequently diagnosed by symptoms and good response to acid suppression with proton pump inhibitors. Further work up is required when the diagnosis of GERD is uncertain, for alarm symptoms, PPI-refractoriness, and often for extraesophageal presentations. Useful tools include endoscopy for mucosal assessment and reflux monitoring (pH or impedance-pH) to quantify reflux burden. Objective documentation of pathological reflux is mandatory prior to anti-reflux surgery. In some patients, symptoms that can be attributed to GERD may have other causes; in these patients, testing that excludes GERD helps direct the diagnostic and treatment efforts to other causes.

Original languageEnglish (US)
Pages (from-to)655-666
Number of pages12
JournalGastrointestinal Endoscopy Clinics of North America
Volume24
Issue number4
DOIs
StatePublished - Oct 1 2014

Fingerprint

Gastroesophageal Reflux
Proton Pump Inhibitors
Electric Impedance
Documentation
Endoscopy
Acids
Therapeutics

Keywords

  • Endoscopy
  • Gastroesophageal reflux disease (GERD)
  • Heartburn
  • Impedance-pH monitoring
  • PH monitoring
  • Proton pump inhibitor test

ASJC Scopus subject areas

  • Gastroenterology
  • Medicine(all)

Cite this

Diagnostic Work-Up of GERD. / Vela, Marcelo F.

In: Gastrointestinal Endoscopy Clinics of North America, Vol. 24, No. 4, 01.10.2014, p. 655-666.

Research output: Contribution to journalArticle

Vela, Marcelo F. / Diagnostic Work-Up of GERD. In: Gastrointestinal Endoscopy Clinics of North America. 2014 ; Vol. 24, No. 4. pp. 655-666.
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