Title: A study on symptoms of Gastro-oesophageal Reflex Disease in correlation with Los-Angeles Classification in Upper GI scopy
Authors: Dr Palanikumar.B, Dr R.Ramesh, Dr K.Ravichandran, Dr R.Jayaraman
DOI: https://dx.doi.org/10.18535/jmscr/v8i11.37
Abstract
Background: Gastro-Oesophageal Reflux Disease (GERD / GORD) is due to pathological reflux of acidic contents from the stomach to the lower oesophagus. It is one the most common upper gastrointestinal disease. The severity of disease can be assessed by the degree of oesophagitis using the Los Angeles Classification.
Aims and Objectives: To assess the correlation between clinical symptoms and endoscopic findings in patients with GERD.
Materials and Methods: A prospective observational study was conducted on 100 patients aged between 18-60 years presenting with symptoms of regurgitation and heartburn. After obtaining ethical committee approval, and getting informed and signed consent from the patients, Upper Gastrointestinal endoscopy was done and severity of Reflux oesophagitis was observed.
Results: Based on the Los Angeles classification, the severity of the disease assessed was Grade A 23%, Grade B 28%, Grade C 29% and grade D 11%. 9% of the patients did not have any reflux oesophagitis.
Conclusion: Most patients had mild to moderate reflux oesophagitis as per the Los Angeles Classification. Severity of Oesophagitis increased with increase in duration of symptoms.
Keywords: GERD, Los-Angeles Classification, Upper GI scopy, Reflux oesophagitis.
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