No abstract available.
Diagnosis* ; Gastroesophageal Reflux* ; Humans

This retrospective study was undertaken to characterize the endoscopic and histopathologic pattern of patients with gastro-esophageal reflux with esophagistis. We investigated 58 patients (24 women, 34 men: mean age 44.33 years). The histopathologic pattern was classified in 3 grades: Grade 1: 19 patients, grade 2: 18 patients, grade 3: 21 patients. The sex ratio, age, endoscopic and particular histopathologic pattern was discussed. We conclude that the gastro-esophageal reflux disease is a common complaint in adult population. Despite it is not a severe damage, it can complicate to Barret’s oesophagus, a premalignant lesion of esophageal adenocarcinoma.
Gastroesophageal Reflux ; diagnosis ; Esophagitis

No abstract available.
Diagnosis ; Gastroesophageal Reflux

No abstract available.
Diagnosis ; Gastroesophageal Reflux

Child ; Gastroesophageal Reflux ; diagnosis ; therapy ; Humans

No abstract available.
Diagnosis, Differential* ; Gastroesophageal Reflux* ; Hydrogen-Ion Concentration*

Gastroesophageal reflux disease (GERD) is the most common gastrointestinal diagnosis recorded during visits to outpatient clinics in west countries. The prevalence of symptom-defined GERD in China is as high as 3% to 5%. Asa dysfunction, GERD is characterized by reflux and heartburn. The pathophysiologic process of GERD is very complicated and subtle. The spectrum of injury from long-term reflux of acid or bile includes damage mucosa, Barrett's esophagus, dysplasia, and esophageal cancer. Therefore, the therapies of GERD should focus on controlling symptom,treating complications, and surveillance the possibility of oncologic transform. As with therapy with proton-pump inhibitors (PPI), modifying lifestyle is another most important modality for most GERD. The window of surgical treatment for GERD is narrow. Surgical therapy is alternative management approach to the patients with PPI failure, complications, or huge hernia. The laparoscopic minimally invasive procedure improves the acceptance of patients to surgical therapy, but the long-term complication and drawbacks of anti-reflux surgery cannot be ignored, and which is even more common than open procedures. The limitations of current therapy for GERD have encouraged a search for more effective treatment.The Linx sphincter augmentation device has been developed to address this gap with improvement of the barrier function of LES and reversible design if necessary.
Gastroesophageal Reflux ; diagnosis ; physiopathology ; surgery ; therapy ; Humans

Gastro-esophageal reflux disease is a chronic disease. It develops along life, more likely recurrent, usually by some months after treatment with responses. This disease apperances in every ages, even in children and newborns, but it is more common at the age over 40 years old with the top age from 50 to 70 years old. The prevelence of disease changed from 10% to 36%. Diagnosis and treatment played an important role in preventation of complications. Pain and hemoghlobin are two complications. Causes gastro-esophageal reflux is very complex. Gastro-esophageal reflux disease is caused by many reasons and the other reasons also have different effects in each patient, even in each time on the same patient
Gastroesophageal Reflux ; diagnosis ; Therapeutics ; epidemiology ; prevention & control

Gastroesophageal reflux disease (GERD) is a condition that develops when reflux of stomach contents causes troublesome symptoms and/or complications. The prevalence of GERD is increasing worldwide and in Asia-Pacific. The latest Korean guidelines for GERD were published in 2012, and several international guidelines and consensus statements for the management of GERD have also been recently published. Here, we review these guidelines and consensus statements in order to provide a better understanding of the diagnosis and treatment of GERD.
Consensus ; Diagnosis ; Gastroesophageal Reflux ; Gastrointestinal Contents ; Prevalence

BACKGROUND/AIMS: Laryngopharyngeal reflux (LPR) is an extraesophageal manifestation of gastroesophageal reflux disease. Endoscopic assessment of LPR is needed for convenient diagnosis and documentation of treatment efficacy. The aim of this study was to investigate the interrater reliability of LPR among endoscopists based on endoscopic laryngeal images. MATERIALS AND METHODS: Nineteen endoscopists participated in this study. Before the test, they completed an intensive education program by an otorhinolaryngologist on the reflux finding score (RFS), which is a validated laryngoscopic assessment of LPR. A total of 100 endoscopic laryngeal images were used for 3 tests of RFS. Cohen's and Fleiss' kappa coefficients were used to determine the degree of interrater agreement in the diagnosis of LPR. RESULTS: In the first test, the mean of Cohen's kappa coefficients for LPR diagnosis between the otorhinolaryngologist and each of the 19 endoscopists was 0.3. In the second test, after additional education, the mean kappa value was 0.32. Fleiss' kappa coefficients for diagnosis of LPR among the 19 endoscopists in the first and second tests were 0.30 and 0.26, respectively. CONCLUSIONS: A short-term education program for endoscopists did not result in an improvement of accuracy in the diagnosis of LPR. Further studies using advanced educational programs for endoscopists are required.
Diagnosis* ; Education ; Endoscopy* ; Gastroesophageal Reflux ; Laryngopharyngeal Reflux* ; Treatment Outcome