Heartburn other imaging findings: Difference between revisions
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{{Heartburn}} | {{Heartburn}} | ||
{{CMG}} {{AE}} {{Jose}} {{AEL}} | {{CMG}} {{AE}} {{Jose}} {{AEL}} | ||
==Overview== | ==Overview== | ||
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=== Endoscopy === | === Endoscopy === | ||
* The [[endoscope]] has been before one of the [[diagnostic]] tools for GERD. | * 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=" | * 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="pmid23419381">{{cite journal| author=Katz PO, Gerson LB, Vela MF| title=Guidelines for the diagnosis and management of gastroesophageal reflux disease. | journal=Am J Gastroenterol | year= 2013 | volume= 108 | issue= 3 | pages= 308-28; quiz 329 | pmid=23419381 | doi=10.1038/ajg.2012.444 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23419381 }} </ref> | ||
* [[Endoscopy]] is also beneficial in doing [[biopsies]] in the [[screening]] of [[barrett's esophagus]], or while trying to diagnose [[eosinophilic esophagitis]]. | * [[Endoscopy]] is also beneficial in doing [[biopsies]] in the [[screening]] of [[barrett's esophagus]], or while trying to diagnose [[eosinophilic esophagitis]]. | ||
* Other advantages include also the possibility of [[H. pylori]] testing. | * Other advantages include also the possibility of [[H. pylori]] testing. | ||
* [[Endoscopy]] has a very important role in the follow-up of [[Barrett's esophagus]] and must be performed if the patient is at high risk for complications, of which one of the most severe is the [[esophageal cancer]]. | |||
**High Risk patient's for [[Barrett's esophagus]]: Men >50 years with chronic [[gastroesophageal reflux disease]] [[symptoms]] (>5 years), AND:<ref name="pmid23419381">{{cite journal| author=Katz PO, Gerson LB, Vela MF| title=Guidelines for the diagnosis and management of gastroesophageal reflux disease. | journal=Am J Gastroenterol | year= 2013 | volume= 108 | issue= 3 | pages= 308-28; quiz 329 | pmid=23419381 | doi=10.1038/ajg.2012.444 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23419381 }} </ref> | |||
***[[Nocturnal]] [[reflux]] [[symptoms]] | |||
***[[Hiatal hernia]] | |||
***Elevated [[body mass index]] | |||
***[[Tobacco]] use | |||
***Intra-abdominal distribution of fat | |||
Patients presenting with [[Dysphagia]], [[bleeding]], [[anemia]], [[weight loss]] and recurrent [[vomiting]] must be considered for [[upper endoscopy]] investigation. [[Esophageal cancer]], and other severe diseases including [[esophagitis]] may be considered, the latter especially in [[HIV]] patients.<ref name="pmid30228725">{{cite journal| author=Clarrett DM, Hachem C| title=Gastroesophageal Reflux Disease (GERD). | journal=Mo Med | year= 2018 | volume= 115 | issue= 3 | pages= 214-218 | pmid=30228725 | doi= | pmc=6140167 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30228725 }} </ref> | |||
==References== | ==References== | ||
Latest revision as of 14:06, 7 September 2020
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Heartburn Microchapters |
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Heartburn other imaging findings On the Web |
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American Roentgen Ray Society Images of Heartburn other imaging findings |
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Risk calculators and risk factors for Heartburn other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2] Ahmed Elsaiey, MBBCH [3]
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
- 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.[1]
- Endoscopy is also beneficial in doing biopsies in the screening of barrett's esophagus, or while trying to diagnose eosinophilic esophagitis.
- Other advantages include also the possibility of H. pylori testing.
- Endoscopy has a very important role in the follow-up of Barrett's esophagus and must be performed if the patient is at high risk for complications, of which one of the most severe is the esophageal cancer.
- High Risk patient's for Barrett's esophagus: Men >50 years with chronic gastroesophageal reflux disease symptoms (>5 years), AND:[1]
- Nocturnal reflux symptoms
- Hiatal hernia
- Elevated body mass index
- Tobacco use
- Intra-abdominal distribution of fat
- High Risk patient's for Barrett's esophagus: Men >50 years with chronic gastroesophageal reflux disease symptoms (>5 years), AND:[1]
Patients presenting with Dysphagia, bleeding, anemia, weight loss and recurrent vomiting must be considered for upper endoscopy investigation. Esophageal cancer, and other severe diseases including esophagitis may be considered, the latter especially in HIV patients.[2]
References
- ↑ 1.0 1.1 Katz PO, Gerson LB, Vela MF (2013). "Guidelines for the diagnosis and management of gastroesophageal reflux disease". Am J Gastroenterol. 108 (3): 308–28, quiz 329. doi:10.1038/ajg.2012.444. PMID 23419381.
- ↑ Clarrett DM, Hachem C (2018). "Gastroesophageal Reflux Disease (GERD)". Mo Med. 115 (3): 214–218. PMC 6140167. PMID 30228725.