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    • Gastroesophageal reflux disease (GERD) is a common condition in which the gastric contents move up into the esophagus. Reflux becomes a disease when it causes frequent or severe symptoms or injury. Reflux may damage the esophagus, pharynx or respiratory tract.

      Diagnostic Procedures for GERD


      A diagnosis of GERD starts with a thorough physical examination, during which you describe your symptoms and medical history. If the typical symptoms of reflux disease are present, including heartburn and regurgitation, your doctor may begin treatment without performing specific diagnostic tests.


      However, tests may be performed if:


      •Your symptoms are atypical
      •The severity of the reflux raises concerns about esophageal damage
      •Symptoms do not respond to initial treatment
      •Your doctor is considering anti-reflux surgery

      Diagnostic procedures for GERD include:


      •Upper endoscopy
      •Reflux testing (wireless pH/pH impedance)
      •Esophageal manometry
      •Barium esophagram

    • The main symptom of GERD is heartburn, often described as a fiery feeling in one's chest, and regurgitating sour or bitter liquid to the throat or mouth. The combination of heartburn and regurgitation is such a common characteristic of GERD that formal testing may be unnecessary.

      Other symptoms of GERD include:


      •Non-burning chest pain, which is usually located in the middle of the chest and radiates to the back
      •Difficulty swallowing (dysphagia)
      •Atypical reflux symptoms relating to the throat, larynx or lungs:
      •Sore throat
      •Coughing
      •Increased salivation
      •Shortness of breath

    • GERD Treatment


      There are two main approaches to treating GERD: medication and surgery. Most patients can effectively use a combination of lifestyle changes and drug therapy to treat their GERD. GERD is chronic, so most patients will have to continue some sort of treatment throughout their lives.
      Surgery is an option for patients who do not respond to medical treatment or who have significant hiatal hernias. Others choose therapy as an alternative to a lifetime of taking medication.

    • Languages

      Location

      Doctors

      XIA Lu, MD, PhD

      Department:
      Gastroenterology
      Inflammatory Bowel Disease Clinic
      Gastro-intestinal Polyp Clinic
      Pancreas Clinic
      Constipation Clinic
      H. Pylori Clinic
      Fatty Liver Disease Clinic
      Location:
      Jiahui International Hospital (Shanghai)
      Jiahui Health (Shanghai Yangpu)
      Languages:
      普通话,  English
      Doctor's bio

      Dr. XIA Lu is currently the director of GI Service and deputy medical director of Jiahui Medical Center (Yangpu). Prior to joining Jiahui, she was the associate chief physician at Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine. She then took on the role of director of the Endoscopy Center and administrative director of Internal Medicine at Shanghai International Medical Center. She not only has rich clinical experience in the diagnosis and treatment of common gastrointestinal diseases such as chronic gastritis, reflux esophagitis, functional gastrointestinal disease, helicobacter pylori infection, early screening for gastrointestinal tumors, inflammatory bowel disease, and pancreatic disease, but is also proficient in the diagnosis and treatment methods for gastrointestinal endoscopy.


      As the chief physician of gastroenterology, the associate professor, postgraduate research supervisor, and associate director for Diagnostics Department of Shanghai Jiao Tong University School of Medicine, Dr. Xia has been involved in the work of clinical education and research over many years. She has previously been a visiting scholar at Johns Hopkins University, Mainz University and McMaster University. She is also the visiting associate professor of the Division of Gastroenterology at John Hopkins University.

       

      Dr. Xia, is currently a member of the Chinese Society of Digestive Diseases of Chinese Medical Association (CMA), the Cooperative Group for Micro-ecology of the Chinese Society of Digestive Diseases of CMA, the Cooperative Group for Communication between Internal Medicine and Surgery, the longstanding Expert Committee for Digestive and Psychosomatic Disease of Beijing Medical Award Foundation, the Expert Committee for Health Management and Physical Examination of the Society of Endoscopy of Chinese Medical Doctor Association, the secretary-general of Inflammatory Bowel Disease of the Society of Digestive Diseases of China Association of Medical Equipment, the chairman of the education commitee of the China Crohn’s & Colitis Foundation, a member of the Expert Committee for Digestive Disease of Chinese Non-government Medical Institution, the first member of Shanghai Council of Chinese Digestive Psychosomatic Union, Dr. Xia has been a reviewer for professional journals including Chinese Journal of Digestion, Chinese Journal of Digestive Endoscopy, Chinese Journal of General Practitioners, and the Journal of Digestive Diseases. She is also the editorial board member for NEJM that is the Chinese edition of the New England Journal of Medicine, a member of WGe-WGN Editorial Board.


      License no. :110310000002958

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      William CAO, MD, PhD

      Department:
      Gastroenterology
      Inflammatory Bowel Disease Clinic
      Gastro-intestinal Polyp Clinic
      Anorectal disease clinic
      GI GERD Clinic
      Pancreas Clinic
      Biliopancreatic endoscopy clinic
      H. Pylori Clinic
      Fatty Liver Disease Clinic
      Location:
      Jiahui International Hospital (Shanghai)
      Languages:
      普通话,  English
      Doctor's bio

      Dr. William CAO is a gastroenterologist at Jiahui Health. Dr. Cao obtained his bachelor's degree in Clinical Medicine from Nanjing Medical University in 2001 and his PhD in Gastroenterology from Xiangya School of Medicine, Central South University in 2008. Prior to joining Jiahui Health, he served as an associate chief physician and postgraduate supervisor in the Department of Gastroenterology of Nanjing First Hospital, Nanjing Medical University. He was once a visiting scholar at National Cancer Center Hospital, Japan.


      Dr. Cao has 18 years of clinical experience in digestive diseases. His main practices include but are not limited to the following conditions: 

      • Digestive diseases, including gastroesophageal reflux disease, helicobacter pylori infection, chronic gastritis, peptic ulcer, functional gastrointestinal disease, inflammatory bowel disease, liver dysfunction, fatty liver, common bile duct stone and pancreatic disease.
      • Endoscopic procedures, including endoscopic mucosal resection (EMR) for gastrointestinal polyps, endoscopic screening and treatment of early gastrointestinal tumor, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasonography (EUS) and fine needle aspiration (FNA), endoscopic variceal ligation (EVL) and endoscopic sclerotherapy (EVS) for gastroesophageal varices.


      Dr. Cao has published more than 10 papers as the first author or corresponding author. He led a project supported by Nanjing Medical Science and Technology Development Foundation and a key project supported by Nanjing Medical University Science and Technology Development Foundation. As a principal researcher, he participated in a project sponsored by the National Natural Science Foundation of China.


      License no. :110320100016883

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      Michael SUN, MD, PhD

      Department:
      Gastroenterology
      Gastro-intestinal Polyp Clinic
      Anorectal disease clinic
      Biliopancreatic endoscopy clinic
      H. Pylori Clinic
      Fatty Liver Disease Clinic
      Location:
      Jiahui International Hospital (Shanghai)
      Languages:
      普通话,  English
      Doctor's bio

      Dr. Michael SUN is now a gastroenterologist at Jiahui Health. Before joining Jiahui, he served as deputy chief physician in the Department of Gastroenterology in Wuxi NO.2 Hospital affiliated to Nanjing Medical University and Putuo Hospital affiliated to Tongji University. He has intensive experience in various Gastroenterology disease; his major specialty is Endoscopy procedure therapy, including GI Endoscopy procedure (Gastroscopy & Colonoscopy screening); GI polypectomy therapy (EMR); GI early cancer diagnosis and treatment (ESD); Endoscopic Ultrasound procedure (EUS); Duodenoscopy (Gallbladder and Pancreatic ERCP procedure). He has published 15 papers in core journals or above (as the first author).


      License no. :110320200013583

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    2021-06-01
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