6. Prevalence
• 20% US population reported reflux symptoms
occuring atleast weekly
• 44% experience heart burn at least once a
month
• 18% on non prescription drugs for reflux
related symptoms
• 16.2% prevalence in urban adult population
from nothern India
11. Patient Evaluation
• Emperical therapy with Anti-acid medication
• Upper GI endoscopy
• Ambulatory pH monitoring
• Intra luminal Impedance
• Esophageal function study
• Esophagogram
• Gastric emptying study
12. Jameison- DeMeester Score
• Total esophageal acid exposure time
• Upright acid exposure time
• Supine acid exposure time
• Number of episodes of reflux
• Number of episodes of relux lasting more than 5
min
• Duration of the longest reflux episdore
Symptom associated probabilty (SAP)