Subtypes of Symptoms and Endoscopic Findings in Gastro-oesophageal Reflux Disease: A Retrospective Cross-Sectional Analysis from Southwestern Nigeria - Scorecard - MDSpire
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Subtypes of Symptoms and Endoscopic Findings in Gastro-oesophageal Reflux Disease: A Retrospective Cross-Sectional Analysis from Southwestern Nigeria
Clinical Scorecard: Subtypes of Symptoms and Endoscopic Findings in Gastro-oesophageal Reflux Disease: A Retrospective Cross-Sectional Analysis from Southwestern Nigeria
At a Glance
Category
Detail
Condition
Gastro-oesophageal reflux disease (GORD)
Key Mechanisms
Retrograde flow of gastric contents into the oesophagus causing symptoms and complications.
Target Population
Adults (≥ 18 years) with GORD symptoms.
Care Setting
Endoscopy suites of two centres in southwest Nigeria.
Key Highlights
GORD prevalence in Nigeria ranges from 7.6% to 33%.
74.5% of patients diagnosed with GORD have non-erosive reflux disease (NERD).
Typical symptoms include heartburn and regurgitation; atypical symptoms include chronic cough and asthma.
Endoscopic findings may show mucosal injury or be non-erosive.
Obesity and dietary factors are linked to GORD symptoms.
Guideline-Based Recommendations
Diagnosis
Diagnosis is clinical and based on symptom presentation.
Endoscopy is used to identify mucosal injury but is not required for diagnosis.
Management
Weight loss and dietary modifications are recommended.
Mild physical activity may alleviate symptoms.
Monitoring & Follow-up
Regular assessment of symptom severity and endoscopic findings.
Risks
Increased mortality associated with GORD, particularly in those without oesophagitis.
Patient & Prescribing Data
Adults with GORD symptoms presenting for upper gastrointestinal endoscopy.
Management should focus on lifestyle modifications and symptom control.
Clinical Best Practices
Identify and address modifiable risk factors for GORD.
Consider both oesophageal and extra-oesophageal symptoms in management.
Utilize endoscopy judiciously to assess for mucosal injury.
