Gastroesophageal reflux disease other imaging findings: Difference between revisions

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{{Gastroesophageal reflux disease}}
{{Gastroesophageal reflux disease}}
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==Overview==
==Overview==
There are no other imaging findings associated with GERD. However, [[endoscopy]] may be used in screening for the complications associated with chronic GERD like [[barrett's esophagus]].


==Other Imaging Findings==
==Other Imaging Findings==
Useful investigations may include [[barium]] swallow [[X-ray]]s, esophageal manometry, 24 hour esophageal [[pH]] monitoring and [[Esophagogastroduodenoscopy]] (EGD).
;[[Esophagogastroduodenoscopy]]
* [[Esophagogastroduodenoscopy]] (EGD) (a form of [[endoscopy]]) involves insertion of a thin scope through the mouth and throat into the esophagus and stomach (often while the patient is sedated) in order to assess the internal surfaces of the esophagus, stomach, and [[duodenum]].
* In general, an EGD is done when the patient does not respond well to treatment, or has alarm symptoms including: dysphagia, anemia, blood in the stool (detected chemically), [[asthma|wheezing]], weight loss, or voice changes. Some physicians advocate once-in-a-lifetime endoscopy for patients with longstanding GERD, to evaluate the possible presence of [[Barrett's esophagus]], a precursor lesion for [[esophageal cancer|esophageal adenocarcinoma]].
[[Image:Peptic stricture.png|center|thumb|200px|[[Gastroscopy|Endoscopic]] image of peptic stricture, or narrowing of the [[esophagus]] near the junction with the [[stomach]].  This is a complication of chronic gastroesophageal reflux disease, and can be a cause of [[dysphagia]] or difficulty swallowing]]


* '''pH monitoring''' examination involves the doctor either inserting a small tube into the esophagus or clipping a tiny device to the esophagus that will stay there for 24 to 48 hours. While you go about your normal activities, the device measures when and how much acid comes up into your esophagus. This test can be useful if combined with a carefully completed diary—recording when, what, and amounts the person eats—which allows the doctor to see correlations between symptoms and reflux episodes. The procedure is sometimes helpful in detecting whether respiratory symptoms, including wheezing and coughing, are triggered by reflux.
=== Endoscopy ===
* The [[endoscope]] has been before one of the [[diagnostic]] tools for GERD.
* Endoscopy is not recommended now for the diagnosis of GERD with the typical symptoms, however, it is used in [[screening]] for the GERD complications as [[esophagitis]], [[esophageal]] [[strictures]], and [[barrett's esophagus]].<ref name="KatzGerson2013">{{cite journal|last1=Katz|first1=Philip O|last2=Gerson|first2=Lauren B|last3=Vela|first3=Marcelo F|title=Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease|journal=The American Journal of Gastroenterology|volume=108|issue=3|year=2013|pages=308–328|issn=0002-9270|doi=10.1038/ajg.2012.444}}</ref>
* [[Endoscopy]] is also beneficial in doing [[biopsies]] in the [[screening]] of [[barrett's esophagus]].  


==References==
==References==
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[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Primary care]]

Latest revision as of 21:50, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

There are no other imaging findings associated with GERD. However, endoscopy may be used in screening for the complications associated with chronic GERD like barrett's esophagus.

Other Imaging Findings

Endoscopy

References

  1. Katz, Philip O; Gerson, Lauren B; Vela, Marcelo F (2013). "Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease". The American Journal of Gastroenterology. 108 (3): 308–328. doi:10.1038/ajg.2012.444. ISSN 0002-9270.

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