Complications Of Gastroesophageal Reflux Disease | 25207
Journal of Gastrointestinal & Digestive System
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Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal disorder. Esophageal and
extraesophageal complications are common and may be potentially life threatening. Esophageal complications include
erosive esophagitis, esophageal stricture, Barrett?s esophagus and adenocarcinoma of the esophagus. Extraesophageal
complications include: Atypical chest pain; ear, nose, and throat (ENT) manifestations such as globus sensation, laryngitis,
and dental problems; pulmonary problems such as chronic cough, asthma, and pulmonary aspiration. An aggressive approach
may often be warranted, especially in the older patient, because of the higher incidence of severe complications. Evaluation
and management of GERD are generally the same in the majority of patients. However, there are specific issues of causation,
evaluation and treatment that must be addressed when dealing with the older patient, such as cognitive impairment,
comorbidities and medication side effects.
Maxwell M Chait completed his MD degree at the age of 25 from the University of California, School of Medicine at San Francisco. He is a Fellow of several
prestigious organizations, including the American College of Physicians, American College of Gastroenterology, American Gastroenterological Association and
the American Society for Gastrointestinal Endoscopy. He is a practicing gastroenterologist on the faculty of the Columbia University College of Physicians and
Surgeons. He has authored numerous publications and serves on the editorial board of the World Journal of Gastrointestinal Endoscopy and the Journal of Liver
Disease and Transplantation Biology.
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