Blaszak Antoni, Wojtuń Stanisław, Gil Jerzy, Wojtkowiak Marek, Dyrla Przemysław, Jałocha Łukasz
Military Institute of Health Services in Warsaw, Department of Gastroenterology, Central Clinical Hospital of the Ministry of National Defense.
Pol Merkur Lekarski. 2009 May;26(155):521-3.
Non-erosive gastroesophageal reflux disease (NERD) is still underappreciated type of gastroesophageal reflux disease (GERD). It is not a homogenous group of patients with real reflux, oversensitivity of esophagus and functional dyspepsia. Nowadays often in classifications of GERD patients with NERD are omitted. Many endoscopic lesions are found in esophagus in NERD, especially color change of mucosa. Erythrema is nowadays taken into account. Unequivocal are also opinions about histological image. Many histological lesions are found but not a specific lesions were typified. Probably it is the best to associate NERD with clinical symptoms, endoscopic and histological image.
非糜烂性胃食管反流病(NERD)仍是一种未得到充分认识的胃食管反流病(GERD)类型。它并非是一组单纯的真正存在反流、食管超敏反应和功能性消化不良的患者。如今在GERD的分类中,NERD患者常常被遗漏。在NERD患者的食管中发现了许多内镜下病变,尤其是黏膜颜色改变。如今红斑也被纳入考量。关于组织学图像的观点也尚无定论。发现了许多组织学病变,但尚未明确典型的特异性病变。或许将NERD与临床症状、内镜及组织学图像联系起来是最佳做法。