World Journal of Surgery

, Volume 41, Issue 7, pp 1672–1677 | Cite as

Evaluation of Gastroesophageal Reflux Disease

  • P. Marco FisichellaEmail author
  • Ciro Andolfi
  • George Orthopoulos
Surgical Symposium Contribution



Gastroesophageal reflux disease (GERD) may present with heartburn, regurgitation, dysphagia, chronic cough, laryngitis, or even asthma. The clinical presentation of GERD is therefore varied and poses certain challenges to the physician, especially given the limitations of the diagnostic testing.


The evaluation of patients with suspected GERD might be challenging. It is based on the evaluation of clinical features, objective evidence of reflux on diagnostic testing, correlation of symptoms with episodes of reflux, evaluation of anatomical abnormalities, and excluding other causes that might account for the presence of the patient’s symptoms.


The diagnostic evaluation should include multiple tests, in addition to a thorough clinical examination.


Idiopathic Pulmonary Fibrosis Achalasia Chronic Cough Esophageal Motility Idiopathic Pulmonary Fibrosis Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Compliance with ethical standards

Conflicts of interest

The authors have no conflicts of interest to declare


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Copyright information

© Société Internationale de Chirurgie 2017

Authors and Affiliations

  • P. Marco Fisichella
    • 1
    Email author
  • Ciro Andolfi
    • 2
  • George Orthopoulos
    • 3
  1. 1.Department of Surgery, Brigham and Women’s Hospital and Boston VA Healthcare SystemHarvard Medical SchoolBostonUSA
  2. 2.Department of SurgeryThe University of Chicago Pritzker School of MedicineChicagoUSA
  3. 3.Department of SurgerySt. Elizabeth Medical CenterBrightonUSA

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