Hutcheon D F, Hendrix T R
Postgrad Med. 1977 Feb;61(2):131-7. doi: 10.1080/00325481.1977.11712120.
Diagnosis of esophageal reflux often can be made on the basis of the characteristic symptoms of heartburn and regurgitation. When the picture is not so typical, acid reflux testing and esophageal biopsy appear to be the best indicators of esophageal reflux. Medical management is directed toward preventing reflux, neutralizing refluxed gastric contents, and enhancing clearance of refluxed material. Antacids are a mainstay of therapy, along with restrictions on diet and certain types of activity. If conservative therapy fails to control symptoms and stricture is likely to develop, surgery may be indicated.
食管反流的诊断通常可基于烧心和反流的典型症状做出。当情况不那么典型时，酸反流测试和食管活检似乎是食管反流的最佳指标。药物治疗旨在防止反流、中和反流的胃内容物以及增强反流物质的清除。抗酸剂是治疗的主要手段，同时还需限制饮食和某些类型的活动。如果保守治疗无法控制症状且可能会形成狭窄，则可能需要进行手术。
