Definition

More of a spectrum from gastro-oesophageal reflux → gastro-oesophageal reflux disease.

  • GORD is considerd to be present if:
    • symptoms occur ≥2 times per week
    • impact quality of life significantly
    • complications are present (oesophageal ulceration and sequelae or extra-oesophageal symptoms)

Clinical Features

Severity of symptoms is not a reliable indicator of the severity of disease.

  • Is endoscopy useful for diagnosis of gord?
    • approximately two-thirds of all people with reflux symptoms have no evidence of macroscopic inflammation on upper gastrointestinal endoscopy
    • endoscopy is not routinely recommended for patients who have typical symptoms of gastro-oesophageal reflux (heartburn or regurgitation) that respond to treatment. endoscopic findings must be interpreted in the context of any acid suppression therapy the patient is taking.