General Dental Practitioner, Speciality Dentist in Paediatric Dentistry, University Dental Hospital of Manchester, UK.
General Dental Practitioner, Heald Green, Manchester, UK.
Br Dent J. 2023 Mar;234(6):451-454. doi: 10.1038/s41415-023-5677-0. Epub 2023 Mar 24.
Gastro-oesophageal reflux disease (GORD) is a relatively common condition that occurs in adults and less commonly in children. It develops when the reflux of stomach contents into the oesophagus causes troublesome symptoms and/or complications. Signs and symptoms include heartburn, retrosternal discomfort, epigastric pain and hoarseness, dental erosion, chronic cough, burning mouth syndrome, halitosis and laryngitis. A proportion of patients will, however, have silent reflux. Strongly associated risk factors include family history, age, hiatus hernia, obesity and neurological conditions, such as cerebral palsy. There are different treatment options which may be considered for GORD, consisting of conservative, medical and surgical therapy. Dentists should be aware of the symptoms of GORD and dental signs of intrinsic erosion indicative of possible GORD so that they can question patients about this and, if appropriate, initiate a referral to a general medical practitioner.
胃食管反流病（GORD）是一种相对常见的疾病，发生于成人，在儿童中较少见。当胃内容物反流进入食管引起麻烦的症状和/或并发症时，就会发生这种疾病。体征和症状包括烧心、胸骨后不适、上腹痛和声音嘶哑、牙侵蚀、慢性咳嗽、灼口综合征、口臭和喉炎。然而，一部分患者会出现无症状性反流。强烈相关的危险因素包括家族史、年龄、食管裂孔疝、肥胖和神经疾病，如脑瘫。GORD 有不同的治疗选择，包括保守治疗、药物治疗和手术治疗。牙医应该了解 GORD 的症状和可能表明存在 GORD 的内在侵蚀的牙科迹象，以便询问患者有关这些症状的情况，如果合适的话，将患者转介给普通内科医生。
