Diagnóstico endoscópico del reflujo gastroesofágico, importancia de las clasificaciones
Endoscopic diagnosis of gastroesophageal reflux, importance of the classifications
Palabras clave:
reflujo gastroesofágico, clasificación de Los Ángeles, esofagitis erosiva péptica
Resumen
La enfermedad por reflujo gastroesofágico es un trastorno crónico muy común. A menudo se diagnostica síntomas clásicos, pero en ciertos pacientes pueden ser necesarias pruebas especializadas como la endoscopia. La clasificación de Los Ángeles permite caracterizar los grados de erosión de la mucosa esofágica. Una endoscopia normal no excluye la enfermedad por reflujo gastroesofágico.
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Citas
Xie C, Li Y, Zhang N, et al. Gastroesophageal flap valve reflected EGJ morphology and correlated to acid reflux. BMC Gastroenterol 2017;17:118.
Poh CH, Gasiorowska A, Navarro-Rodriguez T, et al. Upper GI tract findings in patients with heartburn in whom proton pump inhibitor treatment failed versus those not receiving antireflux treatment. Gastrointest Endosc 2010;71:28–34.
Lundell LR, et al., Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification. Gut, 1999. 45(2): p. 172–80.
Gyawali CP, Kahrilas PJ, Savarino E, et al. Modern diagnosis of GERD: the Lyon Consensus. Gut 2018;67:1351–1362.
Gyawali CP and Fass R, Management of Gastroesophageal Reflux Disease. Gastroenterology, 2018. 154(2): p. 302–318.
Krill JT, Naik RD, Higginbotham T, et al. Association between response to acid-suppression therapy and efficacy of antireflux surgery in patients with extraesophageal reflux. Clin Gastroenterol Hepatol 2017;15:675–681.
Yadlapati R, Masihi M, Gyawali CP, et al. Ambulatory reflux monitoring guides proton pump inhibitor discontinuation in patients with gastroesophageal reflux symptoms: a clinical trial. Gastroenterology 2021;160:174–182.e1.
Aziz Q, Fass R, Gyawali CP, et al. Functional esophageal disorders. Gastroenterology 2016;150:1368–1379.
Lundell LR, Dent J, Bennett JR, et al. Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification. Gut. 1999;45:172–180. doi: 10.1136/gut.45.2.172.
Bredenoord AJ, Hemmink GJ, Smout AJ. Relationship between gastro-oesophageal reflux pattern and severity of mucosal damage. Neurogastroenterol Motil. 2009;21:807–812. doi: 10.1111/j.1365-2982.2009.01306.x.
Wang FW, Tu MS, Chuang HY, Yu HC, Cheng LC, Hsu PI. Esofagitis erosiva en sujetos asintomáticos: factores de riesgo. Dig Dis Sci. 2010; 55 :1320–1324. doi: 10.1007/s10620-009-0888-z.
Poh CH, Gasiorowska A, Navarro-Rodriguez T, et al. Upper GI tract findings in patients with heartburn in whom proton pump inhibitor treatment failed versus those not receiving antireflux treatment. Gastrointest Endosc 2010;71:28–34.
Lundell LR, et al., Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification. Gut, 1999. 45(2): p. 172–80.
Gyawali CP, Kahrilas PJ, Savarino E, et al. Modern diagnosis of GERD: the Lyon Consensus. Gut 2018;67:1351–1362.
Gyawali CP and Fass R, Management of Gastroesophageal Reflux Disease. Gastroenterology, 2018. 154(2): p. 302–318.
Krill JT, Naik RD, Higginbotham T, et al. Association between response to acid-suppression therapy and efficacy of antireflux surgery in patients with extraesophageal reflux. Clin Gastroenterol Hepatol 2017;15:675–681.
Yadlapati R, Masihi M, Gyawali CP, et al. Ambulatory reflux monitoring guides proton pump inhibitor discontinuation in patients with gastroesophageal reflux symptoms: a clinical trial. Gastroenterology 2021;160:174–182.e1.
Aziz Q, Fass R, Gyawali CP, et al. Functional esophageal disorders. Gastroenterology 2016;150:1368–1379.
Lundell LR, Dent J, Bennett JR, et al. Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification. Gut. 1999;45:172–180. doi: 10.1136/gut.45.2.172.
Bredenoord AJ, Hemmink GJ, Smout AJ. Relationship between gastro-oesophageal reflux pattern and severity of mucosal damage. Neurogastroenterol Motil. 2009;21:807–812. doi: 10.1111/j.1365-2982.2009.01306.x.
Wang FW, Tu MS, Chuang HY, Yu HC, Cheng LC, Hsu PI. Esofagitis erosiva en sujetos asintomáticos: factores de riesgo. Dig Dis Sci. 2010; 55 :1320–1324. doi: 10.1007/s10620-009-0888-z.
Publicado
2023-03-09
Cómo citar
Lizarzábal-García, M. (2023). Diagnóstico endoscópico del reflujo gastroesofágico, importancia de las clasificaciones: Endoscopic diagnosis of gastroesophageal reflux, importance of the classifications. Revista Profesional HígadoSano, (25), 11-13. https://doi.org/10.5281/zenodo.7714108
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