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Gastroesophageal reflux disease(GER)

MedGen UID:
6553
Concept ID:
C0017168
Disease or Syndrome
Synonyms: GASTROESOPHAGEAL REFLUX, PEDIATRIC; GER
SNOMED CT: GERD - Gastro-esophageal reflux disease (235595009); Gastroesophageal reflux disease (235595009); Gastro-esophageal reflux (235595009); GORD - Gastro-esophageal reflux disease (235595009); Gastro-esophageal reflux disease (235595009); GOR - Gastro-esophageal reflux (235595009)
 
Monarch Initiative: MONDO:0007186
OMIM®: 109350

Definition

Gastroesophageal reflux (GER) is characterized by the retrograde movement of stomach contents into the esophagus. In its most severe form, GER results in extensive tissue damage caused by acid reflux. In adolescents and adults, and even infrequently in children, chronic GER is associated with the risk of developing Barrett metaplasia (614266), a premalignant lesion of the esophageal mucosa (Hu et al., 2000). In turn, Barrett metaplasia is correlated with the development of adenocarcinoma of the esophagus (see 614266), estimated as the fifth most prevalent neoplasia in the Western world (Lagergren et al., 1999). [from OMIM]

Clinical features

From HPO
Barrett esophagus
MedGen UID:
2551
Concept ID:
C0004763
Disease or Syndrome
Barrett esophagus, or Barrett metaplasia, describes the phenotypic change of normal esophageal squamous epithelium to a columnar and intestinal-type epithelium. This metaplastic change is important because patients with Barrett esophagus have an increased risk of esophageal adenocarcinoma. The main cause of Barrett metaplasia is gastroesophageal reflux (GER; 109350). The retrograde movement of acid and bile salts from the stomach into the esophagus in this disease causes prolonged injury to the esophageal epithelium and induces chronic esophagitis, which in turn is believed to trigger the pathologic changes (summary by Wong et al., 2005).
Neoplasm of esophagus
MedGen UID:
4547
Concept ID:
C0014859
Neoplastic Process
A tumor (abnormal growth of tissue) of the esophagus.
Esophagitis
MedGen UID:
4549
Concept ID:
C0014868
Disease or Syndrome
Inflammation of the esophagus.
Gastroesophageal reflux
MedGen UID:
1368658
Concept ID:
C4317146
Finding
A condition in which the stomach contents leak backwards from the stomach into the esophagus through the lower esophageal sphincter.

Term Hierarchy

Professional guidelines

PubMed

Shaheen NJ, Falk GW, Iyer PG, Souza RF, Yadlapati RH, Sauer BG, Wani S
Am J Gastroenterol 2022 Apr 1;117(4):559-587. doi: 10.14309/ajg.0000000000001680. PMID: 35354777Free PMC Article
Katz PO, Dunbar KB, Schnoll-Sussman FH, Greer KB, Yadlapati R, Spechler SJ
Am J Gastroenterol 2022 Jan 1;117(1):27-56. doi: 10.14309/ajg.0000000000001538. PMID: 34807007Free PMC Article
Wilkinson JM, Codipilly DC, Wilfahrt RP
Am Fam Physician 2021 Jan 15;103(2):97-106. PMID: 33448766

Curated

UK NICE Clinical Guideline CG184, Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management, 2019

UK NICE Guideline NG1, Gastro-oesophageal reflux disease in children and young people: diagnosis and management, 2019

Recent clinical studies

Etiology

Dunbar KB
Ann Intern Med 2024 Aug;177(8):ITC113-ITC128. Epub 2024 Aug 13 doi: 10.7326/AITC202408200. PMID: 39133924
Patel J, Wong N, Mehta K, Patel A
Prim Care 2023 Sep;50(3):339-350. Epub 2023 Apr 20 doi: 10.1016/j.pop.2023.03.002. PMID: 37516506
Taraszewska A
Rocz Panstw Zakl Hig 2021;72(1):21-28. doi: 10.32394/rpzh.2021.0145. PMID: 33882662
Chen J, Brady P
Gastroenterol Nurs 2019 Jan/Feb;42(1):20-28. doi: 10.1097/SGA.0000000000000359. PMID: 30688703
Kellerman R, Kintanar T
Prim Care 2017 Dec;44(4):561-573. Epub 2017 Oct 5 doi: 10.1016/j.pop.2017.07.001. PMID: 29132520

Diagnosis

Dunbar KB
Ann Intern Med 2024 Aug;177(8):ITC113-ITC128. Epub 2024 Aug 13 doi: 10.7326/AITC202408200. PMID: 39133924
Patel J, Wong N, Mehta K, Patel A
Prim Care 2023 Sep;50(3):339-350. Epub 2023 Apr 20 doi: 10.1016/j.pop.2023.03.002. PMID: 37516506
Chen J, Brady P
Gastroenterol Nurs 2019 Jan/Feb;42(1):20-28. doi: 10.1097/SGA.0000000000000359. PMID: 30688703
Clarrett DM, Hachem C
Mo Med 2018 May-Jun;115(3):214-218. PMID: 30228725Free PMC Article
Kellerman R, Kintanar T
Prim Care 2017 Dec;44(4):561-573. Epub 2017 Oct 5 doi: 10.1016/j.pop.2017.07.001. PMID: 29132520

Therapy

Hirano I, Furuta GT
Gastroenterology 2020 Mar;158(4):840-851. Epub 2019 Dec 10 doi: 10.1053/j.gastro.2019.09.052. PMID: 31836530Free PMC Article
Short MW, Burgers KG, Fry VT
Am Fam Physician 2017 Jan 1;95(1):22-28. PMID: 28075104
Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, Nadolsky K, Pessah-Pollack R, Plodkowski R; Reviewers of the AACE/ACE Obesity Clinical Practice Guidelines
Endocr Pract 2016 Jul;22 Suppl 3:1-203. Epub 2016 May 24 doi: 10.4158/EP161365.GL. PMID: 27219496
Oustamanolakis P, Tack J
J Clin Gastroenterol 2012 Mar;46(3):175-90. doi: 10.1097/MCG.0b013e318241b335. PMID: 22327302
Anderson JW, Baird P, Davis RH Jr, Ferreri S, Knudtson M, Koraym A, Waters V, Williams CL
Nutr Rev 2009 Apr;67(4):188-205. doi: 10.1111/j.1753-4887.2009.00189.x. PMID: 19335713

Prognosis

Zhang D, Liu S, Li Z, Wang R
Ann Med 2022 Dec;54(1):1372-1384. doi: 10.1080/07853890.2022.2074535. PMID: 35579516Free PMC Article
Zheng Z, Shang Y, Wang N, Liu X, Xin C, Yan X, Zhai Y, Yin J, Zhang J, Zhang Z
Int J Biol Sci 2021;17(15):4154-4164. Epub 2021 Oct 3 doi: 10.7150/ijbs.65066. PMID: 34803489Free PMC Article
DiSiena M, Perelman A, Birk J, Rezaizadeh H
South Med J 2021 Mar;114(3):161-168. doi: 10.14423/SMJ.0000000000001226. PMID: 33655310
Chang P, Friedenberg F
Gastroenterol Clin North Am 2014 Mar;43(1):161-73. Epub 2013 Dec 27 doi: 10.1016/j.gtc.2013.11.009. PMID: 24503366Free PMC Article
El-Serag HB, Sweet S, Winchester CC, Dent J
Gut 2014 Jun;63(6):871-80. Epub 2013 Jul 13 doi: 10.1136/gutjnl-2012-304269. PMID: 23853213Free PMC Article

Clinical prediction guides

Simadibrata DM, Lesmana E, Fass R
J Gastroenterol Hepatol 2024 May;39(5):796-805. Epub 2024 Jan 23 doi: 10.1111/jgh.16475. PMID: 38263507
Abdo-Francis JM, Cabrera-Álvarez G, Martínez-Torres H, Remes-Troche JM
Gac Med Mex 2022;158(6):423-429. doi: 10.24875/GMM.M22000722. PMID: 36657136
Lynen A, Schömitz M, Vahle M, Jäkel A, Rütz M, Schwerla F
J Bodyw Mov Ther 2022 Jan;29:223-231. Epub 2021 Oct 13 doi: 10.1016/j.jbmt.2021.09.017. PMID: 35248274
Săraru ER, Enciu V, Peagu R, Fierbinţeanu-Braticevici C
Rom J Intern Med 2021 Mar 1;59(1):3-9. Epub 2021 Mar 5 doi: 10.2478/rjim-2020-0027. PMID: 33010143
Sakurai K, Suda H, Fujie S, Takeichi T, Okuda A, Murao T, Hasuda K, Hirano M, Ito K, Tsuruta K, Hattori M
Dig Dis Sci 2019 Mar;64(3):815-822. Epub 2018 Nov 10 doi: 10.1007/s10620-018-5365-0. PMID: 30415407Free PMC Article

Recent systematic reviews

Zdrhova L, Bitnar P, Balihar K, Kolar P, Madle K, Martinek M, Pandolfino JE, Martinek J
Dysphagia 2023 Apr;38(2):609-621. Epub 2022 Jul 16 doi: 10.1007/s00455-022-10494-6. PMID: 35842548Free PMC Article
Cheng J, Ouwehand AC
Nutrients 2020 Jan 2;12(1) doi: 10.3390/nu12010132. PMID: 31906573Free PMC Article
Eusebi LH, Ratnakumaran R, Yuan Y, Solaymani-Dodaran M, Bazzoli F, Ford AC
Gut 2018 Mar;67(3):430-440. Epub 2017 Feb 23 doi: 10.1136/gutjnl-2016-313589. PMID: 28232473
Ness-Jensen E, Hveem K, El-Serag H, Lagergren J
Clin Gastroenterol Hepatol 2016 Feb;14(2):175-82.e1-3. Epub 2015 May 6 doi: 10.1016/j.cgh.2015.04.176. PMID: 25956834Free PMC Article
Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R; Global Consensus Group
Am J Gastroenterol 2006 Aug;101(8):1900-20; quiz 1943. doi: 10.1111/j.1572-0241.2006.00630.x. PMID: 16928254

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NICE, 2019
      UK NICE Clinical Guideline CG184, Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management, 2019
    • NICE, 2019
      UK NICE Guideline NG1, Gastro-oesophageal reflux disease in children and young people: diagnosis and management, 2019

    Consumer resources

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