Role of Endoscopy in GERD
Role of Endoscopy in GERD
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DOI：
10.1016/j.gtc.2013.12.003
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发表时间：
2014-03-01
影响因子：
3.7
通讯作者：
Sharma, Virender K.
中科院分区：
文献类型：
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作者：
Sharma, Virender K.
内镜检查通常用于诊断和治疗胃食管反流病（GERD）。内窥镜检查允许医生评估食管粘膜是否有食管炎和Barrett食管的证据，获得粘膜活检以评估嗜酸性食管炎等疾病以及Barrett食管的诊断和分级，并应用各种治疗。对于GERD治疗反应欠佳的患者，内镜检查排除了其他病因作为患者症状的原因。GERD的新内镜疗法可用或正在开发中。发展中的成像技术的进步将提高内窥镜检查的诊断率，并可能取代粘膜活检的需要。
Endoscopy is commonly performed for the diagnosis and management of gastroesophageal reflux disease (GERD). Endoscopy allows the physician to evaluate esophageal mucosa for evidence of esophagitis and Barrett esophagus, to obtain mucosal biopsies for evaluation of such conditions as eosinophilic esophagitis and diagnosis and grading of Barrett esophagus, and to apply various therapies. In a patient with suboptimal response to GERD therapy, endoscopy excludes other etiologies as a cause of patients' symptoms. Newer endoscopic therapies for GERD are available or are in development. Advances in imaging techniques in development will improve the diagnostic yield of endoscopy and may replace the need for mucosal biopsies.