Última revisión: 26 Ago 2021
Última actualización: 20 Abril 2021

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • presencia de factores de riesgo
  • acidez
  • regurgitación de ácido

Otros factores de diagnóstico

  • disfagia
  • indigestión/saciedad temprana
  • laringitis
  • globo faríngeo
  • erosión del esmalte
  • halitosis
  • dispepsia

Factores de riesgo

  • antecedentes familiares de acidez o ERGE
  • edad avanzada
  • hernia hiatal
  • obesidad
  • fármacos que reducen el tono del esfínter esofágico inferior (EEI)
  • estrés psicológico
  • asma
  • antiinflamatorios no esteroideos (AINE)
  • tabaquismo
  • consumo de alcohol
  • miotomía endoscópica por vía oral (POEM)
  • factores dietarios

Pruebas diagnósticas

Pruebas diagnósticas que deben considerarse

  • esofagogastroduodenoscopia (EGD)
  • monitorización ambulatoria del pH
  • manometría esofágica
  • prueba combinada de impedancia y pH
  • ingesta de solución de bario
  • cápsula endoscópica esofágica

Pruebas emergentes

  • sonda de imagen funcional endoluminal del lumen

Algoritmo de tratamiento

Colaboradores

Autores

Marc J. Zuckerman, MD

Professor of Medicine

Chief of Division of Gastroenterology

Texas Tech University Health Sciences Center

El Paso

TX

Divulgaciones

MJZ has been a speaker for Salix Pharmaceuticals. Allergan Pharmaceuticals, Takeda Pharmaceuticals, and is a consultant for Intercept Pharmaceuticals. He is an author of a reference cited in this topic.

Andres F. Carrion, MD

Associate Professor of Clinical Medicine

Division of Gastroenterology and Hepatology

University of Miami

Miami

FL

Divulgaciones

AFC declares that he has no competing interests.

Agradecimientos

Dr Marc J. Zuckerman and Dr Andres F. Carrion would like to gratefully acknowledge Dr. Sheila Feit and Dr. Mohamed Othman, previous contributors to this topic.

Divulgaciones

SF declares that she has no competing interests. MO has acted as a consultant for Olympus.

Revisores por pares

Lars Aabakken, MD

Professor of Medicine

Chief of GI Endoscopy

Rikshospitalet University Hospital

Oslo

Norway

Divulgaciones

LA declares that he has no competing interests.

Lise Lotte Gluud, MD, DMSc

Consultant

Department of Internal Medicine

Copenhagen University Hospital

Hellerup

Denmark

Divulgaciones

LLG declares that she has no competing interests.

Gary W. Falk, MD, MS

Professor of Medicine

Department of Gastroenterology & Hepatology

Center for Swallowing & Esophageal Disorders

Cleveland Clinic

Cleveland

OH

Divulgaciones

GWF has received fees from: Astra Zeneca (consultant, speakers bureau, grant support); Takeda (grant support); Pentax (speaker, travel); Wyeth (consultant); and C2 Therapeutics (consultant).

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