4.5 Review

The Pulmonary Side of Reflux Disease: from Heartburn to Lung Fibrosis

Journal

JOURNAL OF GASTROINTESTINAL SURGERY
Volume 17, Issue 8, Pages 1526-1535

Publisher

SPRINGER
DOI: 10.1007/s11605-013-2208-3

Keywords

Gastroesophageal reflux disease; Lower esophageal sphincter; Esophageal peristalsis; Hiatal hernia; Obesity; Esophageal manometry; Ambulatory pH monitoring; Idiopathic pulmonary fibrosis; Lung transplantation; Laparoscopic Nissen fundoplication

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Gastroesophageal reflux disease (GERD) is the most prevalent gastrointestinal disorder in the USA. Heartburn is the symptom most commonly associated with this disease, and the highly commercialized medical treatment directed toward relief of this symptom represents a 10-billion-dollar-per-year industry. Unfortunately, there is often little awareness that GERD can be potentially a lethal disease as it can cause esophageal cancer. Furthermore, there is even less awareness about the relationship between GERD and respiratory disorders with the potential for severe morbidity and even mortality.

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