• Cleve Clin J Med · Apr 2020

    Review

    GERD: A practical approach.

    • Andrew Young, Mythri Anil Kumar, and Prashanthi N Thota.
    • Department of Internal Medicine, Cleveland Clinic.
    • Cleve Clin J Med. 2020 Apr 1; 87 (4): 223-230.

    AbstractGastroesophageal 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.Copyright © 2020 The Cleveland Clinic Foundation. All Rights Reserved.

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