Review

GERD: A practical approach

Andrew Young, DO, Mythri Anil Kumar, MD and Prashanthi N. Thota, MD, FACG
Cleveland Clinic Journal of Medicine April 2020, 87 (4) 223-230; DOI: https://doi.org/10.3949/ccjm.87a.19114

Article Figures & Data

Figures

  • Figure 1
    Figure 1

    Approach to gastroesophageal reflux disease (PPI = proton pump inhibitor, EGD = esophagogastroduodenoscopy).

  • Figure 2
    Figure 2

    Endoscopic views of esophagitis grades. (A) Grade A—1 or more mucosal breaks (arrow) no longer than 5 mm that do not extend between the tops of two mucosal folds. (B) Grade B—1 or more mucosal breaks (arrow) longer than 5 mm that do not extend between the tops of two mucosal folds. (C) Grade C—1 or more mucosal breaks (arrows) that are continuous between the tops of 2 or more mucosal folds, but involve less than 75% of the circumference. (D) Grade D—1 or more mucosal breaks (arrows) that involve at least 75% of the esophageal circumference.

  • Figure 3
    Figure 3

    (A) Patient with 24-hour pH catheter. (B) Bravo capsule in the esophagus. (C) In pH tracing, the blue horizontal line represents a pH < 4.

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