GERD Complications

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Gastroesophageal reflux is a disorder that in some cases seriously affects the lifestyle of patients, limiting their capacity to work or relationships and that is very often underestimated in its severity and its complications. Gastroesophageal reflux disease is a chronic disorder. This means that recurs frequently, even daily. In these cases, the stomach acid backs up into contact with the oesophagus for a long time, causing more damage. The complications come when reflux attacks are repeated often, when symptoms are persistent and when they are neglected.

Here’s a quick overview of the latter.

Esophagitis

in relation to the extension and depth of lesions esophagitis is classified in degrees, from 1 (least severe) to 4 (most severe); it is an inflammation of the oesophageal mucosa, especially the last stretch. The mucosa (the lining of the oesophagus) is attacked by gastric acid that determines the formation of ulcerative lesions (deep wounds). Much of the symptoms of reflux has to do with oesophageal mucosal injury, and the typical pain behind the breastbone or at the back is just painful linked to irradiation of these areas.

Barrett’s Oesophagus

The action affecting the secretion of stomach acid, if sustained over time, causes the lining of the oesophagus to transform, (intestinal metaplasia). This area is a pre-cancerous or a lesion that can develop into oesophageal cancer and Barrett’s oesophagus is called by the name of the doctor who identified the disease in 1950. 10% of patients with gastroesophageal reflux develop Barrett’s oesophagus, the risk of transformation to carcinoma in Barrett’s oesophagus is 1% per year. The diagnosis is made with endoscopy and biopsy. Esophagus Therapy Barrett is the inhibition of gastric secretion with omeprazole or derivatives. Control after 3 months and if unsuccessful antireflux surgery.

Oesophageal cancer

is now considered a complication of chronic reflux. One study, now even more recent, published in The New England Journal of Medicine, showed that the incidence of oesophageal cancer in patients with chronic reflux disease for 20 years is 43 times higher than the control population. Oesophageal cancer remains a relatively rare disease, which, if diagnosed early, may be susceptible to radical surgery Tartt. Early diagnosis is now possible with endoscopy, which allows you to track the development of precancerous lesions.

All these disorders may be more or less severe. Typically their severity depends on whether they are recognized and treated in time. Therefore, to prevent the most dangerous consequences is important:

* Quickly learn to distinguish the symptoms of reflux;
* Please contact your doctor immediately (especially when symptoms are frequent and are resistant to treatment).

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