PMID- 16353687 OWN - NLM STAT- MEDLINE DCOM- 20060120 LR - 20131121 IS - 1661-8157 (Print) IS - 1661-8157 (Linking) VI - 94 IP - 48 DP - 2005 Nov 30 TI - [Gastroesophageal reflux disease]. PG - 1899-906 AB - Gastroesophageal reflux disease (GERD) includes different manifestations of esophageal and extraesophageal affections, such as erosive reflux disease, Barrett's esophagus, laryngitis and even pulmonary diseases. Typical symptoms are heartburn and acid regurgitation, but there are a lot of atypical disturbances like hoarseness or chronic cough. Endoscopy is the most important diagnostic procedure for elderly patients and for those with atypical symptoms. Younger people without alarming symptoms can be tested for GERD by treatment with proton pump inhibitors (PPI). The therapeutic approach depends on the endoscopic findings. PPI are preferred drugs to manage most GERD-related problems. Anti reflux surgery is appropriate for selected patients. Long-term followup data will help to define the benefit of new endoscopic procedures. Barrett's esophagus has to be regarded as a precancerous lesion, therefore surveillance strategy is required. FAU - Grater, H AU - Grater H AD - Klinik fur Onkologie, Gastroenterologie und Aligemeine Innere Medizin, Stadtische Kliniken Esslingen. LA - ger PT - English Abstract PT - Journal Article PT - Review TT - Gastroosophageale Refluxkrankheit. PL - Switzerland TA - Praxis (Bern 1994) JT - Praxis JID - 101468093 RN - 0 (Antacids) RN - 0 (Anti-Ulcer Agents) RN - 0 (Proton Pump Inhibitors) RN - UVL329170W (Cisapride) SB - IM MH - Aged MH - Antacids/therapeutic use MH - Anti-Ulcer Agents/therapeutic use MH - Barrett Esophagus/diagnosis/drug therapy/physiopathology MH - Biopsy MH - Cisapride/therapeutic use MH - Diagnosis, Differential MH - Endoscopy MH - Endoscopy, Digestive System MH - Esophagus/pathology MH - Follow-Up Studies MH - *Gastroesophageal Reflux/diagnosis/drug therapy/pathology/physiopathology/surgery MH - Humans MH - Patient Selection MH - Proton Pump Inhibitors MH - Time Factors RF - 29 EDAT- 2005/12/16 09:00 MHDA- 2006/01/21 09:00 CRDT- 2005/12/16 09:00 PHST- 2005/12/16 09:00 [pubmed] PHST- 2006/01/21 09:00 [medline] PHST- 2005/12/16 09:00 [entrez] AID - 10.1024/0369-8394.94.48.1899 [doi] PST - ppublish SO - Praxis (Bern 1994). 2005 Nov 30;94(48):1899-906. doi: 10.1024/0369-8394.94.48.1899.