Bukowska Lidia, Korzonek Maria, Szmatłoch Eugeniusz
Klinika Chorób Wewnetrznych Pomorskiej, Akademii Medycznej, 71-111 Szczecin, ul. Powstańców Wlkp. 72.
Przegl Lek. 2002;59(2):98-103.
Endoscopy is the method commonly used in the diagnosis of GERD (Gastroesophageal Reflux Disease). Although it is not rare that despite of typical clinical symptoms of the disease, investigation doesn't show any changes. The aim of endoscopy is to monitor pathological changes occurring in GERD--severe inflammation of the esophagus, strictures, ulcers and Barrett's esophagus. The possibility of histopathological assessment of mucosal biopsy, allows us to find dysplasia or metaplasia changes. Proton pump inhibitors (PPI) are first choice drugs in GERD and show higher efficacy compared to H2 blockers and prokinetic drugs.
内镜检查是诊断胃食管反流病（GERD）常用的方法。尽管该疾病有典型的临床症状，但检查却未发现任何变化的情况并不少见。内镜检查的目的是监测胃食管反流病中出现的病理变化——食管严重炎症、狭窄、溃疡和巴雷特食管。黏膜活检进行组织病理学评估的可能性，使我们能够发现发育异常或化生变化。质子泵抑制剂（PPI）是胃食管反流病的首选药物，与H2受体阻滞剂和促动力药物相比，疗效更高。
