Endoscopic Finding Of Minimal Change Esophagitis And Its Role In The Diagnosis Of NERD Patients | 59503
Journal of Gastrointestinal & Digestive System
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Background: Gastro esophageal reflux disease (GERD) is the reflux of gastric contents into the esophagus, leading to esophagitis,
reflux symptoms sufficient to impair the quality of life and increased risk of long-term complications. GERD is divided into erosive
(ERD) and non-erosive (NERD) reflux disease, NERD has been regarded as reflux symptoms with the absence of mucosal breaks
in the esophagus at endoscopy. However, NERD has been divided into normal and minimal changes based on endoscopic finding.
Objectives: To evaluate the clinical significance of minimal changes at endoscopy and examine whether such changes have diagnostic
value in gastro esophageal reflux disease (NERD) or not.
Methods: 60 patients were recruited in this study, they were divided into 2 groups, Group I: included 30 patients with GERD
symptoms in form of hurt-burn and/or regurgitation more than twice a week with minimal duration of 8 consecutive weeks and
troublesome symptoms affecting the daily life activities who were identified by specific questionnaire but negative mucosal breaks
at upper GI endoscopy (NERD) as patient group. Group II: included 30 patients without GERD symptoms attending for upper GI
endoscopy for any other reason as a control group. Both of them were subjected to Full history taking. Full clinical examination with
special stress on BMI (weight/height) 2.(Normal 19-25, Over weight >25) and diagnostic upper GI endoscopy by expert endoscopists
after patient consent.
Results: We identified two of the six minimal change esophagitis endoscopically as being more common in the patient group with
GERD symptoms compared with the other findings which are erythema and white turbid discoloration.
Conclusion: According to our study there is no clinical relevance in the diagnosis of NERD depending on endoscopic minimal
Khaled Abdelwali completed his MBBCh in 2005 from Faculty of Medicine, Assuit University. He then worked in Assuit University Hospital for 1 year, and later in Manshyet Elbakry Hospital in Cairo, Egypt in the Department of Gastroenterology and Liver Diseases. He then joined as a part time Physiology Lecturer in Misr International University. He finished his Diploma in Internal Medicine and Gastroenterology in 2014 at Ain Shams University, Egypt. He then moved to the Department of Gastroenterology and Liver Diseases in Sheikh Zayed Al Nahyan General and Specialized Hospital, Cairo.