GERD: A practical approach

Andrew Young; Mythri Anil Kumar; Prashanthi N. Thota

doi:10.3949/ccjm.87a.19114

ABSTRACT

Gastroesophageal reflux disease (GERD) is mainly a clinical diagnosis based on typical symptoms of heartburn and acid regurgitation. Current guidelines indicate that patients with typical symptoms should first try a proton pump inhibitor (PPI). If reflux symptoms persist after 8 weeks on a PPI, endoscopy of the esophagus is recommended, with biopsies taken to rule out eosinophilic esophagitis. This review discusses the evidence for different medical, endoscopic, and surgical therapies and presents a management algorithm.

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Andrew Young, DO

Department of Internal Medicine, Cleveland Clinic

Mythri Anil Kumar, MD

Department of Gastroenterology and Hepatology, Cleveland Clinic

Prashanthi N. Thota, MD, FACG⇑

Medical Director, Esophageal Center, Digestive Disease and Surgery Institute, Cleveland Clinic
Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH

ADDRESS:
Prashanthi N. Thota, MD, FACG, Esophageal Center, Digestive Disease and Surgery Institute, A31, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195; thotap{at}ccf.org