Vakil Nimish, Malfertheiner Peter, Salis Graciela, Flook Nigel, Hongo Michio
Division of Gastroenterology, University of Wisconsin Medical School, Milwaukee, Wisc., USA.
Dig Dis. 2008;26(3):231-6. doi: 10.1159/000121352. Epub 2008 May 6.
Terminology used to describe upper gastrointestinal disorders differs by country and language. However, the extent of variation in physician understanding of GERD and associated conditions and symptoms is not known.
To determine the knowledge of primary care physicians with regard to: terminology related to GERD, their understanding of related complications and extra-esophageal symptoms/conditions, and their use of guidelines relating to GERD.
Gastroenterologists from 17 countries asked primary care physician colleagues to complete a one-page online survey on GERD.
352 primary care physicians, (77% community-based, 23% hospital-based) completed the questionnaire. Gastroesophageal reflux disease/GERD (84%) or reflux/reflux disease (47%) were the terms mostly often used to record a diagnosis for patients with reflux-related symptoms or clinical manifestations; dyspepsia (15%), epigastric pain (10%), and gastritis (9%) were infrequently used. Erosive esophagitis, Barrett's esophagus, stricture, and esophageal adenocarcinoma were recognized as being associated with GERD by 88, 71, 61 and 51% of physicians, respectively. Extra-esophageal problems of cough, sleep-related disorders, laryngitis and asthma were recognized to be associated with GERD by 74, 50, 48 and 47% of respondents. Thirty-nine percent of physicians stated that they did not use a specific definition of GERD; 33% used an international and 14% used a national guideline in managing patients.
(1) GERD is well recognized, but its related terminology is variable throughout the world. (2) There was variable and incomplete recognition of extra-esophageal manifestations GERD. (3) Recognition of extra-esophageal diseases caused by GERD is variable. (4) Current GERD guidelines are infrequently used by primary care physicians.
用于描述上消化道疾病的术语因国家和语言而异。然而，医生对胃食管反流病（GERD）及相关病症和症状的理解差异程度尚不清楚。
确定初级保健医生关于以下方面的知识：与GERD相关的术语、他们对相关并发症和食管外症状/病症的理解，以及他们对GERD相关指南的使用情况。
来自17个国家的胃肠病学家邀请初级保健医生同事完成一份关于GERD的单页在线调查问卷。
352名初级保健医生（77%为社区医生，23%为医院医生）完成了问卷。胃食管反流病/GERD（84%）或反流/反流病（47%）是最常用于记录有反流相关症状或临床表现患者诊断的术语；消化不良（15%）、上腹痛（10%）和胃炎（9%）较少使用。分别有88%、71%、61%和51%的医生认识到糜烂性食管炎、巴雷特食管、狭窄和食管腺癌与GERD有关。分别有74%、50%、48%和47%的受访者认识到咳嗽、睡眠相关障碍、喉炎和哮喘等食管外问题与GERD有关。39%的医生表示他们没有使用GERD的特定定义；33%的医生在管理患者时使用国际指南，14%的医生使用国家指南。
（1）GERD已得到广泛认可，但其相关术语在全球范围内存在差异。（2）对GERD食管外表现的认识存在差异且不完整。（3）对GERD所致食管外疾病的认识存在差异。（4）初级保健医生很少使用当前的GERD指南。
