Abstract
Gastroesophageal reflux disease (GERD) is the most frequent gastrointestinal disorder with an increasing incidence likely due to the rising obesity epidemic. GERD patients may present with typical (esophageal) or atypical (extraesophageal) symptoms.
Prior to surgical treatment, patients with GERD symptoms should undergo a thorough objective evaluation including esophagogastroduodenoscopy, barium swallow, high-resolution manometry, and ambulatory 24-hour pH monitoring.
Among available diagnostic tests, the ambulatory 24-hour pH monitoring is considered the gold standard for the diagnosis. It is the only study that can determine objectively the esophageal acid exposure and the correlation with symptoms.
A thorough evaluation confirming the presence of abnormal reflux, and a cause/effect relationship between symptoms and reflux, is key component of a successful operation.
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Di Corpo, M., Nurczyk, K., Patti, M.G. (2021). Gastroesophageal Reflux Disease: Workup and Evaluation. In: Zundel, N., Melvin, W.S., Patti, M.G., Camacho, D. (eds) Benign Esophageal Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-51489-1_1
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