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Domenico Della Casa, Guido Missale, Renzo Cestari
Diagnosis and effective management of gastroesophageal reflux (GERD) need a new approach. The 2009 Montreal Consensus recommended that the clinical diagnosis of GERD should be made on the presence of troublesome symptoms. GerdQ, a patient centered-self assessment questionnaire, is made to assist health care professionals. Also, it is easy to use, no diagnostic test required, for example without previous specialist referral or endoscopy. GerdQ is a well documented questionnaire, developed on the basis of evidence...
March 2010: Recenti Progressi in Medicina
Malathi Sathiyasekeran, So Shivbalan
A 6-year-old boy presented with nocturnal cough of 8 months duration. Upper gastrointestinal endoscopy (UGIE) showed an esophagogastric polyp and esophagitis. The 24 hours ambulatory pH recording revealed moderate gastro esophageal reflux (GER) and esophageal manometry demonstrated hypotensive lower esophageal sphincter (LES). A diagnosis of gastroesophagel reflux disease (GERD) with hypotensive LES and inflammatory esophagogastric polyp was made. The child's symptoms subsided with antireflux treatment.
August 2007: Indian Pediatrics
R Tutuian, D O Castell
Gastroesophagel reflux disease (GERD) is a common condition encountered in clinical practice. Over the years there has been a continuous interaction between the understanding of the disease, the diagnostic tools and treatments of GERD. The use of proton pump inhibitor (PPI) trials by primary care physicians as diagnostic tool in patients with symptoms suspected to be due to GERD has led to a shift in the type of patients referred to specialists. Currently, gastrointestinal specialists are frequently asked to evaluate patients with persistent reflux symptoms despite acid suppressive therapy...
September 2006: Alimentary Pharmacology & Therapeutics
M M Antunes, R M Yamada, M Trevisan, S R Cardoso, M de F Servidoni, G Hessel
Gastroesophageal reflux disease has been very often in children and one of its most critical complications is the peptic esophagitis disease. The diagnosis of peptic esophagitis is obtained based on the endoscopic changes and the histologic features. The pressure reduction of the lower esophageal sphincter is one of the elements of the esophagitis pathogenesis. The pressure is related with the length of the esophageal abdominal segment, which can be measured by ultrasonography. The research presented in this paper aims to relate ultrasonographic measurements of esophageal abdominal segment length with endoscopic changes and with esophageal biopsy obtained from children with gastroesophagel reflux disease...
October 1998: Arquivos de Gastroenterologia
J DeRosa, M Marcinkiewicz, J Sarosiek, M Edmunds, R W McCallum
OBJECTIVES: The role of hydrophobicity in the pathophysiology of the gastrointestinal tract is well established as a protective mechanism against the impact of lumenal acid and pepsin. Hydrophobic properties of esophageal secretion in humans remain largely unknown. METHODS: We have studied, therefore, hydrophobicity by using fluorescence probe in human esophageal secretion, elaborated under the impact of saline followed by HCl, HCl/pepsin, and final saline. RESULTS: Basal hydrophobicity of human esophageal secretion, elaborated during mucosal exposure to saline, was 237 +/- 32...
November 1995: American Journal of Gastroenterology
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