Abstract
This report discusses the potential mechanisms that might underlie refractory GERD and functional heartburn, and how to distinguish among those mechanisms using a systematic evaluation that includes careful medical history, endoscopy with esophageal biopsy, esophageal manometry, and esophageal multichannel intraluminal impedance-pH monitoring. The report provides an approach to patient management that depends on the underlying mechanism identified by this systematic evaluation.
Original language | English (US) |
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Pages (from-to) | 343-359 |
Number of pages | 17 |
Journal | Gastrointestinal Endoscopy Clinics of North America |
Volume | 30 |
Issue number | 2 |
DOIs | |
State | Published - Apr 2020 |
Externally published | Yes |
Keywords
- Functional heartburn
- Fundoplication
- Gastroesophageal reflux disease
- Magnetic sphincter augmentation
- Proton pump inhibitor
- Reflux hypersensitivity
ASJC Scopus subject areas
- Gastroenterology