Gastroesophageal reflux disease

Dr. Hu Haiqing is recently engaged in research and minimally invasive endoscopic treatment of gastroesophageal reflux disease (GERD) at the General Hospital of the People’s Liberation Army (301 Hospital) in Beijing, with remarkable results. Outpatient time: Monday and Wednesday afternoon gastroenterology department of Inner Mongolia Medical University Hospital, Hu Haiqing Location: 301 hospital gastroenterology outpatient clinic, fifth floor, room 30 gastroesophageal reflux disease (GERD) is the reflux of gastric contents into the esophagus or above, into the mouth (including the pharynx) or lungs caused by symptoms or complications. GERD is classified into non-erosiveGastrooesophageal (NERD), reflux esophagiti (RE), and Barrett’s esophagus.GERD is a clinically frequent and common disease, and the typical symptoms of GERD are heartburn and acid reflux.NERD can be diagnosed by NERD can be diagnosed by 24h pH monitoring results, while RE is mostly diagnosed by endoscopy. GERD can be diagnosed by 24h pH monitoring, while RE is diagnosed by endoscopy. Reflux symptoms can affect patients’ lives and increase the risk of esophageal intraepithelial neoplasia and even esophageal and cardia cancer, so strict follow-up and timely treatment are necessary. The main treatment methods include: medication, endoscopic treatment and surgical treatment. Drug therapy: Drugs for GRED can be classified as H2 receptor blockers and proton pump inhibitors (PPI). Surgical treatment: The main procedures include: laparoscopic fundoplication, obesity treatment surgery and adjunctive lower esophageal sphincter with LINXcom reflux system. closure. The more commonly used procedure is fundoplication. Surgical treatment is an option for patients undergoing long-term GERD treatment, but is more invasive and does not replace the effects of medication. Endoscopic cardia reduction: This is a new endoscopic treatment for GERD. The main way to reduce reflux symptoms is to narrow the cardia by ligating and fixing it. This procedure has been used in clinical practice for a short period of time and the number of patients treated is still small, but it is less traumatic and more controllable than laparoscopic surgery, and has a promising future for the treatment of GERD, especially refractory GERD. This article is authorized by Dr. Haiqing Hu, please do not reproduce without authorization.