Gastro-oesophageal reflux disease (summary)

Last revised by Craig Hacking on 2 Apr 2018

Citation, DOI, disclosures and article data

Citation:

Jones J, Hacking C, Chan J, et al. Gastro-oesophageal reflux disease (summary). Reference article, Radiopaedia.org (Accessed on 25 Apr 2024) https://doi.org/10.53347/rID-49991

DOI:

https://doi.org/10.53347/rID-49991

Permalink:

https://radiopaedia.org/articles/49991

rID:

49991

Article created:

13 Dec 2016, Jeremy Jones ◉

Disclosures:

At the time the article was created Jeremy Jones had no recorded disclosures.

View Jeremy Jones's current disclosures

Last revised:

2 Apr 2018, Craig Hacking ◉ ◈

Disclosures:

At the time the article was last revised Craig Hacking had no recorded disclosures.

View Craig Hacking's current disclosures

Revisions:

8 times, by 4 contributors - see full revision history and disclosures

Systems:

Gastrointestinal

Tags:

medical student, summary

This is a basic article for medical students and other non-radiologists

Gastric-oesophageal reflux disease (GORD) is a spectrum of disease that occurs when gastric acid refluxes into the lower oesophagus

anatomy
- gastro-oesophageal junction
epidemiology
- prevalence >10% in most regions
presentation
- recurrent heartburn/reflux symptoms
pathophysiology
- risk factors include obesity, smoking and alcohol consumption
- GORD is a risk factor for Barretts oesophagus and oesophageal cancer
investigation
- endoscopy is the key test in the assessment of GORD
- there is no role for radiological imaging
treatment
- lifestyle measures
- anti-reflux medication

Role of imaging

Endoscopy is the mainstay for investigation of GORD. Radiology does not have a part to play in the standard assessment of GORD.

Radiographic features

CT

CT is not helpful in the diagnosis of GORD although it may be used in the assessment of patients with chest and abdominal pain. A normal CT does not exclude all pathology.