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dc.contributor.authorMoraes-Filho, Joaquim Prado P.-
dc.contributor.authorCecconello, Ivan-
dc.contributor.authorGama-Rodrigues, Joaquim-
dc.contributor.authorCastro, Luiz de Paula-
dc.contributor.authorHenry, Maria Aparecida-
dc.contributor.authorMeneghelli, Ulisses G-
dc.contributor.authorQuigley, Eamonn-
dc.date.accessioned2014-05-27T11:20:25Z-
dc.date.accessioned2016-10-25T18:17:42Z-
dc.date.available2014-05-27T11:20:25Z-
dc.date.available2016-10-25T18:17:42Z-
dc.date.issued2002-03-02-
dc.identifierhttp://dx.doi.org/10.1016/S0002-9270(01)04038-2-
dc.identifier.citationAmerican Journal of Gastroenterology, v. 97, n. 2, p. 241-248, 2002.-
dc.identifier.issn0002-9270-
dc.identifier.urihttp://hdl.handle.net/11449/66846-
dc.identifier.urihttp://acervodigital.unesp.br/handle/11449/66846-
dc.description.abstractThe Brazilian Consensus on Gastroesophageal Reflux Disease considers gastroesophageal reflux disease to be a chronic disorder related to the retrograde flow of gastroduodenal contents into the esophagus and/or adjacent organs, resulting in a variable spectrum of symptoms, with or without tissue damage. Considering the limitations of classifications currently in use, a new classification is proposed that combines three criteria - clinical, endoscopic, and pH-metric - providing a comprehensive and more complete characterization of the disease. The diagnosis begins with the presence of heartburn, acid regurgitation, and alarm manifestations (dysphagia, odynophagia, weight loss, GI bleeding, nausea and/or vomiting, and family history of cancer). Also, atypical esophageal, pulmonary, otorhinolaryngological, and oral symptoms may occur. Endoscopy is the first approach, particularly in patients over 40 yr of age and in those with alarm symptoms. Other exams are considered in particular cases, such as contrast radiological examination, scyntigraphy, manometry, and prolonged pH measurement. The clinical treatment encompasses behavioral modifications in lifestyle and pharmacological measures. Proton pump inhibitors in manufacturers' recommended doses are indicated, with doubling of the dose in more severe cases of esophagitis. The minimum time of administration is 6 wk. Patients who do not respond to medical treatment, including those with atypical manifestations, should be considered for surgical treatment. Of the complications of gastroesophageal reflux disease, Barrett's esophagus presents a potential development of adenocarcinoma; biopsies should be performed, independent of Barrett's esophagus extent or location. In this regard the designation short Barrett's is not important in terms of management and prognosis. © 2002 by Am. Coll. of Gastroenterology.en
dc.format.extent241-248-
dc.language.isoeng-
dc.sourceScopus-
dc.subjectproton pump inhibitor-
dc.subjectBarrett esophagus-
dc.subjectbehavior modification-
dc.subjectBrazil-
dc.subjectclinical feature-
dc.subjectendoscopy-
dc.subjectesophagus hemorrhage-
dc.subjectesophagus pressure-
dc.subjectesophagus stenosis-
dc.subjectgastroesophageal reflux-
dc.subjecthuman-
dc.subjectmanometry-
dc.subjectpH measurement-
dc.subjectpriority journal-
dc.subjectreview-
dc.subjectscintigraphy-
dc.subjectulcer-
dc.subjectBiopsy, Needle-
dc.subjectEsophagoscopy-
dc.subjectFemale-
dc.subjectGastroesophageal Reflux-
dc.subjectHumans-
dc.subjectMale-
dc.subjectPrognosis-
dc.titleBrazilian consensus on gastroesophageal reflux disease: Proposals for assessment, classification, and managementen
dc.typeoutro-
dc.contributor.institutionUniversidade de São Paulo (USP)-
dc.contributor.institutionUniversidade Federal de Minas Gerais (UFMG)-
dc.contributor.institutionNational University of Ireland-
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)-
dc.description.affiliationFaculty of Medicine University of São Paulo, São Paulo-
dc.description.affiliationFederal University of Minas Gerais School of Medicine, Belo Horizonte-
dc.description.affiliationFaculty of Medicine State of São Paulo University, Botucatu-
dc.description.affiliationFaculty of Medicine University of São Paulo, Ribeirão Preto-
dc.description.affiliationNational University of Ireland, Cork-
dc.description.affiliation, rua João Moura 627 conj 174, São Paulo, 05412-001-
dc.identifier.doi10.1016/S0002-9270(01)04038-2-
dc.rights.accessRightsAcesso restrito-
dc.relation.ispartofAmerican Journal of Gastroenterology-
dc.identifier.scopus2-s2.0-0036180921-
Appears in Collections:Artigos, TCCs, Teses e Dissertações da Unesp

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