PT  - JOURNAL ARTICLE
AU  - Andrew Young
AU  - Mythri Anil Kumar
AU  - Prashanthi N. Thota
TI  - GERD: A practical approach
AID  - 10.3949/ccjm.87a.19114
DP  - 2020 Apr 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 223--230
VI  - 87
IP  - 4
4099  - http://www.ccjm.org/content/87/4/223.short
4100  - http://www.ccjm.org/content/87/4/223.full
SO  - Cleve Clin J Med2020 Apr 01; 87
AB  - 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.