Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 2: What Are The Indications For Endoscopy In Patients With Classic Gastroesophageal Reflux Disease? (continued)

There are no absolute indications for endoscopy in patients with classic gastroesophageal reflux disease. In order to answer this question, one again must assume that classic gastroesophageal reflux disease means that the patient has 1 or 2 primary symptoms: heartburn and/or regurgitation. In this setting, the approach to consideration of upper gastrointestinal (GI) endoscopy is based on guidelines, and patient preference. If the disease is uncomplicated—heartburn and/or regurgitation as the only symptom, easily resolved with antisecretory therapy—then endoscopy is purely…