GERD

• Gastroesophageal reflux is a normal physiological phenomenon experienced intermittently by most people, particularly after a meal
• Heartburn is a common problem in the United States and in the Western world. Approximately 7% of the population experience symptoms
• An abnormal esophageal exposure to gastric juice is probably present in 20-40% of this population, meaning 20-40% of the people who experience heartburn do indeed have GERD
• Approximately 50% of patients with gastric reflux develop esophagitis
• Grade I - Erythema
• Grade II - Linear no confluent erosions
• Grade III - Circular confluent erosions
• Grade IV - Stricture or Barrett esophagus (Barrett esophagus is thought to be caused by the chronic reflux of gastric juice into the esophagus. Barrett esophagus occurs when the squamous epithelium of the esophagus is replaced by the intestinal columnar epithelium. Barrett esophagus is present in 8-15% of patients with GERD and may progress to adenocarcinoma.

Ask Your Doctor

• About 24 Hr PH Impedance monitoring test to confirm that you have acid reflux before you increase the dosage of the Anti Acid Medications

Indication of Surgery GERD

• Complicated Reflux Esophagitis ,grade III or IV
• Barretts Esophagus
• Reflux With Hiatal Hernia, bleeding, dysphagia
• Failed Medical Therapy

Don’t hesitate to call our center for any questions: 703-888-0731