复旦大学附属中山医院 Zhongshan Hospital, Fudan University Aim of diagnostic approach To clarify mucosal injury To quantify reflux To clarify the pathophysiology www.zshospital.com
www.zshospital.com Aim of diagnostic approach • To clarify mucosal injury • To quantify reflux • To clarify the pathophysiology
复里大学附属中山医院便 Diagnotic approach Esophago-gastroendoscopy · Barium swallow Questionnaire: Bernstein test RDQ, GerdQ ° PPI therapy 24-h pH monitoring Esophageal manometry 24-h impedance monitoring www.zshospital.com
www.zshospital.com Diagnotic approach • Esophago-gastroendoscopy • Barium swallow • Bernstein test • 24-h pH monitoring • Esophageal manometry • 24-h impedance monitoring •Questionnaire： RDQ, GerdQ •PPI therapy
复旦大学附属中山医院 Zhongshan Hospital, Fudan University Esophagoscopy To identify mucosal lesion To judge the severity of esophagitis To determine complication(stricture, carcinoma) To perform dilation if stricture exists Note: GERD cannot be excluded without mucosal lesion www.zshospital.com
www.zshospital.com Esophagoscopy • To identify mucosal lesion • To judge the severity of esophagitis • To determine complication(stricture, carcinoma) • To perform dilation if stricture exists Note: GERD cannot be excluded without mucosal lesion
复旦大学附属中山医院 Zhongshan Hospital, Fudan University Normal esophagus www.zshospital.com
www.zshospital.com Normal esophagus
复旦大学附属中山医院 Zhongshan Hospital, Fudan University LA-A(Mild esophagitis) w.zshospital com
www.zshospital.com LA-A(Mild esophagitis)