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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 GERDA 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 esophagramThe 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 breathGERD 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
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DoctorsCHEN Weiwen, MD
Read MoreDepartment:GastroenterologyGastro-intestinal Polyp ClinicAnorectal disease clinicGI GERD ClinicConstipation ClinicH. Pylori ClinicConstipation ClinicLocation:Jiahui International Hospital (Shanghai)Jiahui Health (Shanghai Jing'an)Languages:普通话, English, 閩南語Doctor's bioDr. CHEN Weiwen practices as a Gastroenterologist at Jiahui Health. He graduated from China Medical University in 2015 with a Bachelor of Medicine, and was awarded a master’s degree in Internal Medicine from Fudan University in 2018. He completed his internal medicine residency training at Zhongshan Hospital.
Dr. Chen has worked in gastroenterology and endoscopy at Tongji Hospital Affiliated to Tongji University and another international hospital in Shanghai. He also undertook a fellowship in gastroenterology diagnosis and treatment and endoscopic-related fields at several hospitals in Japan, such as Fukuoka University Hospital, Juntendo University Hospital, and Nihon University Hospital. Dr. Chen specializes in gastroenterology (hepatobiliary diseases) and excels in endoscopic diagnosis and treatment. He is well-versed in treating gastroesophageal reflux disease, peptic ulcer, internal hemorrhoid sclerotherapy and ligation, endoscopic polypectomy, as well as detecting early gastric cancer lesions. Dr. Chen is also experienced in performing endoscopic ultrasound, enteroscopy, and Stretta radiofrequency ablation of the gastric cardia. Additionally, he is proficient in endoscopic stent implantation and other endoscopic procedures.
Dr. Chen is currently a member of Gastroenterology of Japanese Medical Association, the Gastroenterology Branch of the Shanghai Association of Physician, and the Youth Collaboration Group for Digestive Endoscopy and Colon Diseases of the Chinese Medical Association, and has published several peer-reviewed articles in these fields.CHEN Haihua, MD
Read MoreDepartment:GastroenterologyGastro-intestinal Polyp ClinicGI GERD ClinicConstipation ClinicH. Pylori ClinicConstipation ClinicLocation:Jiahui International Hospital (Shanghai)Jiahui Health (Shanghai Yangpu)Languages:普通话Doctor's bioDr. CHEN Haihua is a gastroenterologist at Jiahui Health. Dr. Chen graduated from Dalian Medical University with a major in Clinical Medicine in 2005. Before joining Jiahui, Dr. Chen worked at Shanxi Cancer Hospital and the First Hospital of Shanxi Medical University. He also served as the ward director of the Endoscopy Center of Shanxi Cancer Hospital. He has been committed to training young endoscopists in Shanxi Province for a long time.
Dr. Chen is mainly engaged in the clinical diagnosis and treatment of reflux esophagitis, atrophic gastritis, functional gastrointestinal diseases, as well as liver, gallbladder, and pancreatic diseases; He is also experienced in the treatment of early gastrointestinal cancer and polyps under endoscopy. Besides that, Dr. Chen is proficient in endoscopic mucosal dissection and submucosal tumor resection, and has extensive experience in stent implantation and catheterization for advanced gastrointestinal tumors. In 2015 and 2016, he completed the endoscopic gastroesophageal myotomy (POEM) and the endoscopic pyloric myotomy (G-POEM). Dr. Chen’s annual endoscopic grade 4 surgery volume was over 200.
Dr. Chen is currently a member of the Youth Committee of Tumor Endoscopy of the China Anti-Cancer Association, a member of the Tumor Endoscopy Committee of the Shanxi Anti-Cancer Association, the Vice Chairman of the Youth Committee of Tumor Endoscopy of the Shanxi Anti-Cancer Association, and a member of the Endoscopy Branch of the Shanxi Medical Association. He has also participated in the following provincial and national key projects:
- The Application Value of Linkage Imaging Technology in Early Gastric Cancer (Shanxi Provincial Department of Science and Technology)
- Research topic on three-dimensional multi-level clinical pathway optimization for gastrointestinal cancer (National Key Research and Development Program of China)
- National Colorectal Polyp Management Project (National Science and Technology Support Program)Jane SONG, MD
Read MoreDepartment:GastroenterologyGastro-intestinal Polyp ClinicAnorectal disease clinicGI GERD ClinicConstipation ClinicH. Pylori ClinicConstipation ClinicLocation:Jiahui International Hospital (Shanghai)Jiahui Health (Shanghai Yangpu)Languages:普通话, EnglishDoctor's bioDr. Jane SONG is gastroenterologist in Jiahui international hospital. She graduated from Fudan University and received clinical training as a resident physician in Huashan Hospital. Dr. Song then Joined Affiliated Hospital of Hangzhou Normal University and the 455th Hospital of the People's Liberation Army as GI physician. With more than ten years of clinical experience in gastroenterology, Dr. SONG’s clinical specialty are mainly focus on digestive system disease, such as gastroesophageal reflux disease, peptic ulcer, Helicobacter pylori infection, functional gastrointestinal disease, inflammatory bowel disease, etc. Meanwhile, Dr. SONG has extensive experience in endoscopy therapy including early gastrointestinal cancer screening, gastrointestinal polyp removal, esophagus/stomach foreign body removal, gastric lithotripsy, endoscopic hemostasis for gastrointestinal bleeding, endoscopic mucosal resection (EMR), etc. She published many academic studies in domestic and foreign journals, including SCI indexed.
License no. :110654024000075
William CAO, MD, PhD
Read MoreDepartment:GastroenterologyInflammatory Bowel Disease ClinicGastro-intestinal Polyp ClinicAnorectal disease clinicGI GERD ClinicPancreas ClinicBiliopancreatic endoscopy clinicH. Pylori ClinicFatty Liver Disease ClinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, EnglishDoctor's bioDr. William CAO is Assistant to Chief of GI 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