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Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition) ›› 2024, Vol. 11 ›› Issue (02): 75-80. doi: 10.3877/cma.j.issn.2095-8765.2024.02.002

• Editorial • Previous Articles    

Advances in the Diagnosis and Treatment of Gastroesophageal Reflux Disease in China

Qianjun Zhuang1, Dianxuan Jiang1, Yinglian Xiao1,()   

  1. 1. Department of Gastroenterology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
  • Received:2024-02-05 Online:2024-05-15 Published:2024-10-09
  • Contact: Yinglian Xiao

Abstract:

Gastroesophageal reflux disease (GERD) is one of the most common chronic gastrointestinal disorders. The prevalence of GERD in China is 8.7%. Due to the diverse manifestations, the diagnosis of GERD is a challenge for clinicians. Chinese guideline proposed that patients with Los Angeles grade B/C/D esophagitis or acid exposure time>4% could be diagnosed as GERD. Although acid suppressive therapy is the first-line treatment for GERD, up to 50% of patients did not report effective symptom relief despite medications. Such patients typically undergo endoscopic anti-reflux surgery, but some still need to take anti-reflux medication or even undergo a secondary surgery to control GERD symptoms. This article summarized the current status of diagnosis and treatment of GERD in China, offering valuable insights for clinical physicians.

Key words: Gastroesophageal reflux disease, Diagnosis, Treatment

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