RT Journal Article
SR Electronic
T1 GERD: A practical approach
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 223
OP 230
DO 10.3949/ccjm.87a.19114
VO 87
IS 4
A1 Young, Andrew
A1 Kumar, Mythri Anil
A1 Thota, Prashanthi N.
YR 2020
UL http://www.ccjm.org/content/87/4/223.abstract
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.