P Marco Fisichella1, Ciro Andolfi2, George Orthopoulos3. 1. Department of Surgery, Brigham and Women's Hospital and Boston VA Healthcare System, Harvard Medical School, 1400 VFW Parkway, West Roxbury, Boston, MA, 02132, USA. piero.fisichella@va.gov. 2. Department of Surgery, The University of Chicago Pritzker School of Medicine, Chicago, IL, USA. 3. Department of Surgery, St. Elizabeth Medical Center, Brighton, MA, USA.
Abstract
INTRODUCTION: Gastroesophageal reflux disease (GERD) may present with heartburn, regurgitation, dysphagia, chronic cough, laryngitis, or even asthma. The clinical presentation of GERD is therefore varied and poses certain challenges to the physician, especially given the limitations of the diagnostic testing. DISCUSSION: The evaluation of patients with suspected GERD might be challenging. It is based on the evaluation of clinical features, objective evidence of reflux on diagnostic testing, correlation of symptoms with episodes of reflux, evaluation of anatomical abnormalities, and excluding other causes that might account for the presence of the patient's symptoms. CONCLUSIONS: The diagnostic evaluation should include multiple tests, in addition to a thorough clinical examination.
INTRODUCTION:Gastroesophageal reflux disease (GERD) may present with heartburn, regurgitation, dysphagia, chronic cough, laryngitis, or even asthma. The clinical presentation of GERD is therefore varied and poses certain challenges to the physician, especially given the limitations of the diagnostic testing. DISCUSSION: The evaluation of patients with suspected GERD might be challenging. It is based on the evaluation of clinical features, objective evidence of reflux on diagnostic testing, correlation of symptoms with episodes of reflux, evaluation of anatomical abnormalities, and excluding other causes that might account for the presence of the patient's symptoms. CONCLUSIONS: The diagnostic evaluation should include multiple tests, in addition to a thorough clinical examination.
Authors: G M Campos; J H Peters; T R DeMeester; S Oberg; P F Crookes; S Tan; S R DeMeester; J A Hagen; C G Bremner Journal: J Gastrointest Surg Date: 1999 May-Jun Impact factor: 3.452
Authors: P Marco Fisichella; Christopher S Davis; Erin Lowery; Matthew Pittman; James Gagermeier; Robert B Love; Elizabeth J Kovacs Journal: J Surg Res Date: 2012-04-18 Impact factor: 2.192
Authors: Benjamin Basseri; Jeffrey L Conklin; Mark Pimentel; Robert Tabrizi; Edward H Phillips; Sinan A Simsir; George E Chaux; Jeremy A Falk; Sara Ghandehari; Harmik J Soukiasian Journal: Ann Thorac Surg Date: 2010-11 Impact factor: 4.330
Authors: Fernando A M Herbella; Ciro Andolfi; Yalini Vigneswaran; Marco G Patti; Bruno R Pinna Journal: J Gastrointest Surg Date: 2016-07-25 Impact factor: 3.452
Authors: D H Weinstein; S deRijke; C C Chow; L Foruraghi; X Zhao; E C Wright; M Whatley; R Maass-Moreno; C C Chen; S A Wank Journal: Aliment Pharmacol Ther Date: 2013-05-03 Impact factor: 8.171
Authors: Christopher S Davis; Bernardino M Mendez; Diana V Flint; Karen Pelletiere; Erin Lowery; Luis Ramirez; Robert B Love; Elizabeth J Kovacs; P Marco Fisichella Journal: J Surg Res Date: 2013-06-29 Impact factor: 2.192
Authors: Michael Shaw; John Dent; Timothy Beebe; Ola Junghard; Ingela Wiklund; Tore Lind; Folke Johnsson Journal: Health Qual Life Outcomes Date: 2008-04-30 Impact factor: 3.186
Authors: Andrea de Oliveira Batista; Adriana Zanoni Dotti; Lilian Rose Otoboni Aprile; Roberto Oliveira Dantas Journal: Gastroenterology Res Date: 2019-08-25