Abstract
Gastroesophageal reflux disease (GERD) is a common disease with a variable prevalence ranging from 5 % in the Eastern population to 25 % in the West. Moreover, GERD incidence seems to be escalating.
Gastroesophageal reflux occurs daily in normal individuals (physiological reflux); however, it may become “a disease which develops when the reflux of stomach contents causes troublesome symptoms and/or complications” – or GERD – as defined by an International Consensus.
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Armstrong D. Gastroesophageal reflux disease. Curr Opin Pharmacol. 2005;5:589–95. This paper highlights the symptoms and their relationship to the anatomical and physiological changes of the mechanisms that prevent GERD.
Armstrong D, Sifrim D. New pharmacologic approaches in gastroesophageal reflux disease. Gastroenterol Clin North Am. 2010;39:393–418. This paper discusses the mechanisms of GERD with emphasis on the LES and substances (pharmaceutical and food) that can change its pressure.
Bredenoord AJ, Pandolfino JE, Smout AJPM. Gastro-oesophageal reflux disease. Lancet. 2013;381:1933–42. This review focuses on the aspects of the esophagogastric junction dysfunction through manometry and pH monitoring.
Cram M. Hiatus hernia and gastro-oesophageal reflux disease. Medicine. 2010;39(3):132–6. Review on the relationship between hiatal hernia and GERD.
Fass R. Epidemiology and pathophysiology of symptomatic gastroesophageal reflux disease. Am J Gastroenterol. 2003;98(3):S2–7. This manuscript covers all etiopathogenic aspects of GERD. It states that there are subgroups of patients with distinct mechanisms in the pathophysiology of the disease.
Herbella FA, Sweet MP, Tedesco P, Nipomnick I, Patti MG. Gastroesophageal reflux disease and obesity. Pathophysiology and implications for treatment. J Gastrointest Surg. 2007;11(3):286–90. This study elucidates on the relationship between obesity and GERD, focusing on the etiopathogenic aspects.
Hom C, Vaezi MF. Extraesophageal manifestations of gastroesophageal reflux disease. Gastroenterol Clin North Am. 2013;42:71–91. Review on extra-esophageal manifestations of GERD and on the aggressive and defensive factors in the pathogenesis of GERD.
Kahrilas PJ, Lee TJ. Pathophysiology of gastroesophageal reflux disease. Thorac Surg Clin. 2005;15:323–33. Review paper that shows the relationship between antireflux mechanisms and severity of GERD.
Lee YY, McColl KEL. Pathophysiology of gastroesophageal reflux disease. Best Pract Res Clin Gastroenterol. 2013;27:339–51. Review paper on the normal physiology of the antireflux barrier.
Orlando RC. Pathogenesis of gastroesophageal reflux disease. Gastroenterol Clin North Am. 2002;31:33–44. Review paper with comments on the transient relaxation of the lower esophageal sphincter and on esophageal clearance. It focuses on the evolution from GER to GERD.
Pandolfino JE, Kwiatek MA, Kahrilas PJ. The pathophysiologic basis for epidemiologic trends in gastroesophageal reflux disease. Gastroenterol Clin Notrth Am. 2008;37:827–43. This paper focuses on relationship between GERD pathophysiology and epidemiology, focusing on the potential risk factors for GERD.
Patti MG, Perreta S. Gastro-oesophageal reflux disease: a decade of changes. Asian J Surg. 2003;26(1):4–6. The authors report that in the last decade there have been changes in the understanding, diagnosis and treatment of GERD.
Salvatore S, Vandenplas Y. Gastro-esophageal reflux disease and motility disorders. Best Pract Res Clin Gastroenterol. 2003;17(2):163–79. Relevant paper on esophageal motility. Discusses the epidemiology, natural history, pathophysiology and esophageal motility, focusing on the differences between different age groups.
Shafik A, Shafik I, El-Sibai O, Shafik AA. On the pathogenesis of gastroesophageal reflux: the concept of gastroesophageal dyssynergia. J Thorac Cardiovasc Surg. 2005;130:401–7. Importance of the diaphragm.
Weijenborg PW, Bredenoord AJ. How reflux causes symptoms; reflux perception in gastroesophageal reflux disease. Best Pract Res Clin Gastroenterol. 2013;27:353–64. Volume and composition of refluxate as being important for the perception of symptoms.
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Valezi, A.C., Herbella, F.A.M., Junior, J.M. (2014). Gastroesophageal Reflux Disease: Pathophysiology. In: Fisichella, P., Allaix, M., Morino, M., Patti, M. (eds) Esophageal Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-04337-1_3
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DOI: https://doi.org/10.1007/978-3-319-04337-1_3
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