Gastro-oesophageal reflux disease

Overview

• poor correlation between symptoms and endoscopy appearance

Indications for upper GI endoscopy:

• age > 55 years
• symptoms > 4 weeks or persistent symptoms despite treatment
• dysphagia
• relapsing symptoms
• weight loss

If endoscopy is negative consider 24-hr oesophageal pH monitoring (the gold standard test for diagnosis)