Extraesophageal presentations of gastroesophageal reflux disease: the case for aggressive diagnosis and treatment.
Gastroesophageal reflux disease (GERD) has a number of extraesophageal presentations, including noncardiac chest pain, asthma, and laryngitis. Although 24-hour esophageal pH monitoring is the best test to diagnose GERD, an empiric approach to treatment, using an aggressive acid suppression regimen such as a proton-pump inhibitor, may be more cost-effective.
Richter
J E
JE
Department of Gastroenterology, Cleveland Clinic Foundation, OH 44195, USA.
D001249:Asthma / Q000209:etiology; D002637:Chest Pain / Q000209:etiology; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D010038:Otorhinolaryngologic Diseases / Q000209:etiology