Mitlyng Benjamin L, Ganz Robert A
Minn Med. 2012 Apr;95(4):42-5.
Gastroesophageal reflux disease (GERD) is the most common gastrointestinal disorder in the United States. Without proper treatment, patients may be at risk for long-term complications including Barrett's esophagus and adenocarcinoma of the esophagus. Because reflux is a common complaint, clinicians need to know how to rule out causes other than GERD and how to treat patients suspected of having GERD. This article discusses how to diagnose GERD, the medical and surgical treatment options, and how to evaluate patients who are at risk for long-term complications.
胃食管反流病(GERD)是美国最常见的胃肠道疾病。若未经适当治疗,患者可能面临包括巴雷特食管和食管癌在内的长期并发症风险。由于反流是一种常见症状,临床医生需要知道如何排除GERD以外的病因,以及如何治疗疑似患有GERD的患者。本文讨论了如何诊断GERD、药物和手术治疗方案,以及如何评估有长期并发症风险的患者。