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https://hdl.handle.net/2440/9186
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Type: | Journal article |
Title: | Oesophageal complications and consequences of persistent gastro-oesophageal reflux disease |
Author: | Pisegna, J. Holtmann, G. Howden, C. Katelaris, P. Sharma, P. Spechler, S. Triadafilopoulos, G. Tytgat, G. |
Citation: | Alimentary Pharmacology and Therapeutics, 2004; 20(s9):47-56 |
Publisher: | Blackwell Publishing Ltd |
Issue Date: | 2004 |
ISSN: | 0269-2813 1365-2036 |
Statement of Responsibility: | J. Pisegna, G. Holtmann, C. W. Howden, P. H. Katelaris, P. Sharma, S Spechler, G. Triadafilopoulos and G. Tytgat |
Abstract: | The major oesophageal complications associated with persistent gastro-oesophageal reflux disease (GERD) include erosive oesophagitis, ulceration, strictures and gastrointestinal (GI) bleeding. Although the causes of these complications are uncertain, studies indicate that erosive oesophagitis may progress to the development of ulcers, strictures and GI bleeding. Pharmacological treatment with proton pump inhibitors is favoured over that with H2-receptor antagonists for the treatment of strictures. The treatment of strictures is accomplished with dilation and many favour the concomitant use of proton pump inhibitors. Most gastroenterologists are seeing far fewer oesophageal strictures these days since the introduction of proton pump inhibitors. In addition, research has shown that oesophageal complications have a greater impact on patients suffering from night-time GERD than on those suffering from daytime GERD. Barrett's oesophagus is a significant complication associated with persistent GERD and those at risk generally experience a longer duration of symptoms, especially those with a high degree of severity. In addition, there is a strong relationship between Barrett's oesophagus and oesophageal adenocarcinoma. This is in part due to the association of obesity and the development of hiatal hernias. Furthermore, endoscopic screening is being used to detect Barrett's oesophagus and oesophageal adenocarcinoma in persons suffering from chronic GERD, even though screening may not have an impact on outcomes (Sharma P, McQuaid K, Dent J, et al. A critical review of the diagnosis and management of Barrett's esophagus: The AGA Chicago Workshop. Gastroenterology 2004; 127: 310–30.). |
Description: | Article first published online: 4 NOV 2004 |
Rights: | © 2004 Blackwell Publishing Ltd |
DOI: | 10.1111/j.1365-2036.2004.02240.x |
Published version: | http://dx.doi.org/10.1111/j.1365-2036.2004.02240.x |
Appears in Collections: | Aurora harvest Medicine publications |
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