| Literature DB >> 32146943 |
Rena Yadlapati1, John E Pandolfino2.
Abstract
Patients with gastroesophageal reflux disease (GERD) present with heterogeneous symptoms, response to treatment, and physiologic profiles, requiring distinct and personalized management. This article provides a stepwise framework to phenotype GERD beginning with (1) characterization of symptom profile and response to acid suppression; (2) endoscopic evaluation of mucosal and anatomic integrity; (3) ambulatory reflux monitoring to characterize reflux burden and sensitivity; and (4) esophageal physiologic testing to assess gastroesophageal reflux mechanism and effectors of reflux clearance, and evaluate for alternate causes.Entities:
Keywords: Esophageal manometry; Esophagitis; Functional heartburn; Hiatal hernia; Proton pump inhibitor; Reflux; Supragastric belching; Transient lower esophageal sphincter relaxation
Mesh:
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Year: 2020 PMID: 32146943 PMCID: PMC7083512 DOI: 10.1016/j.giec.2019.12.002
Source DB: PubMed Journal: Gastrointest Endosc Clin N Am ISSN: 1052-5157