Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases

Eric Esrailian, MD, MPH

Chapter 2: Gastroesophageal Reflux Disease (continued)

Daniel D. Cho, MD

Gastroesophageal reflux disease (GERD) is one of the most common upper digestive disorders encountered by primary-care physicians and gastroenterologists. The distinction between physiologic and pathologic reflux remains debated. Not surprisingly, the definition and criteria for GERD differs in the literature. The most widely accepted definition is the Montreal definition, which classifies GERD as “a condition which develops when the reflux of gastric contents causes troublesome symptoms and/or complications.” What is troublesome is largely up to the perception of the patient…