The current status of diagnosis and treatment and prospects of gastroesophageal reflux disease
10.3760/cma.j.cn113855-20250402-00199
- VernacularTitle:胃食管反流病的诊疗现状及展望
- Author:
Chongwen ZHAN
1
;
Qiyuan YAO
1
Author Information
1. 复旦大学附属华山医院普外科，上海 200040
- Publication Type:Journal Article
- Keywords:
Gastroesophageal reflux;
Hernia, hiatal;
Diagnosis;
Treatment
- From:
Chinese Journal of General Surgery
2025;40(6):421-426
- CountryChina
- Language:Chinese
-
Abstract:
Gastroesophageal reflux disease (GERD), a common chronic disease of the digestive system, has a severe impact on the quality of life of patients and simultaneously increases the medical burden. The symptoms of GERD are diverse and atypical, and diagnosis requires a comprehensive assessment of symptoms, endoscopic findings, reflux monitoring, and therapeutic responses. Lifestyle interventions and pharmacological treatment remain the preferred basic treatment modalities for GERD, which have a favorable relieving effect on most of the population. Patients who do not respond to conservative treatment can undergo endoscopic anti-reflux surgery and surgical procedures. For patients with concomitant esophageal hiatal hernia, esophageal hiatal hernia repair can be performed simultaneously. With the high prevalence of obesity and the popularization of bariatric surgery, GERD in the obese population and those after bariatric surgery has gradually received more attention. This article summarizes the current status of the diagnosis and treatment of GERD and prospects the new technologies and research directions in the future.
