Pathophysiology of Gastroesophageal Reflux Disease.

Abstract:

:The pathogenesis of gastroesophageal reflux disease (GERD) is complex and involves changes in reflux exposure, epithelial resistance, and visceral sensitivity. The gastric refluxate is a noxious material that injures the esophagus and elicits symptoms. Esophageal exposure to gastric refluxate is the primary determinant of disease severity. This exposure arises via compromise of the anti-reflux barrier and reduced ability of the esophagus to clear and buffer the refluxate, leading to reflux disease. However, complications and symptoms also occur in the context of normal reflux burden, when there is either poor epithelial resistance or increased visceral sensitivity. Reflux therefore develops via alterations in the balance of aggressive and defensive forces.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Tack J,Pandolfino JE

doi

10.1053/j.gastro.2017.09.047

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

277-288

issue

2

eissn

0016-5085

issn

1528-0012

pii

S0016-5085(17)36248-0

journal_volume

154

pub_type

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