Defining esophageal landmarks, gastroesophageal reflux disease, and Barrett's esophagus

Ann N Y Acad Sci. 2013 Oct:1300:278-295. doi: 10.1111/nyas.12253.

Abstract

The following paper on gastroesophageal reflux disease (GERD) and Barrett's esophagus (BE) includes commentaries on defining esophageal landmarks; new techniques for evaluating upper esophageal sphincter (UES) tone; differential diagnosis of GERD, BE, and hiatal hernia (HH); the use of high-resolution manometry for evaluation of reflux; the role of fundic relaxation in reflux; the use of 24-h esophageal pH-impedance testing in differentiating acid from nonacid reflux and its potential inclusion in future Rome criteria; classification of endoscopic findings in GERD; the search for the cell origin that generates BE; and the relationship between BE, Barrett's carcinoma, and obesity.

Keywords: GERD; NERD; dysphagia; endoscopy; manometry.

Publication types

  • Review

MeSH terms

  • Barrett Esophagus / diagnosis*
  • Barrett Esophagus / pathology
  • Diagnosis, Differential
  • Esophagoscopy
  • Esophagus / pathology*
  • Gastroesophageal Reflux / pathology
  • Humans
  • Manometry