Banerjee Rupa, Reddy D Nageshwar
Department of Medical Gastroenterology, Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad, 500 082 Andhra Pradesh, India.
Indian J Gastroenterol. 2011 Sep;30(5):193-200. doi: 10.1007/s12664-011-0137-1. Epub 2011 Oct 19.
Gastroesophageal reflux disease (GERD) and GERD-related symptoms are common, and affect 25% to 30% of the general population. Upper gastrointestinal endoscopy of the esophagus has been the most widely used modality for the diagnosis and grading of reflux disease. Endoscopic imaging today has evolved beyond the confines of routine white light endoscopy (WLE) to advanced optical imaging with a precise and real time endoscopic diagnosis. These technological advances have helped circumvent the limitation of WLE in reflux disease by a) improved detection of subtle irregularities, b) characterization of anomalies, and c) possible optical biopsies providing real-time diagnosis. This review attempts to define the current status of these newer technologies vis-a-vis the diagnosis and management of gastroesophageal reflux disease.
胃食管反流病（GERD）及与GERD相关的症状很常见，影响着25%至30%的普通人群。食管上消化道内镜检查一直是反流病诊断和分级最广泛使用的方式。如今，内镜成像已从常规白光内镜检查（WLE）的局限发展到先进的光学成像，实现精确且实时的内镜诊断。这些技术进步通过以下方式帮助克服了WLE在反流病中的局限性：a）更好地检测细微异常；b）对异常进行特征描述；c）可能进行光学活检以提供实时诊断。本综述试图明确这些较新技术在胃食管反流病诊断和管理方面的现状。
