GERD: A practical approach.

Young, Andrew; Kumar, Mythri Anil; Thota, Prashanthi N · Cleve Clin J Med · 2020

review · Level V

Where this comes from

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.

Medical subject headings