
Gastroesophageal reflux is a problem that occurs when gastric acid content refluxes into the esophagus. About 10% of Americans have daily symptoms of heartburn and about 2% of these patients have esophagitis. The repetition of these episodes injured reflux esophagitis causing esophageal epithelium. A hiatal hernia may or may not coexist with gastroesophageal reflux, many patients with hiatal hernia present no evidence of reflux. In many cases the main cause of reflux is a defective lower esophageal esfincter. This may be exacerbated by an alteration of esophageal reflux gastric emptying. These symptoms of heartburn can usually be controlled with drugs aimed at alkaline or suppress gastric acid secretion.
The group of patients with documented reflux esophagitis are dependent on tto. doctor, or can not be controlled with tto. physician or regurgitation and aspiration of gastric contents into the airway can be successfully treated by a surgical procedure directed to recreate a functioning lower esophageal esfincter.
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