Gastroesophageal reflux disease and non-digestive tract diseases

Expert Rev Gastroenterol Hepatol. 2015 May;9(5):685-92. doi: 10.1586/17474124.2015.1012495. Epub 2015 Feb 10.

Abstract

Over the past decade, incidence of gastroesophageal reflux disease (GERD) showed an increasing trend resulting from factors, including lifestyle and dietary habits; however, both etiology and pathological mechanisms remain controversial. GERD occurs as a result of a variety of mechanisms and there is no single factor. Symptoms of GERD are often non-typical, with a likelihood of being overlooked by non-gastroenterology professionals. Therefore, improving GERD awareness in non-gastroenterology practitioners, along with early diagnosis and treatment, provide potential benefit to clinicians and patients alike. Increasing evidence suggests GERD has specific connections with a variety of non-digestive tract conditions, may contribute an aggravating compounding effect on other diseases, prolong hospitalization, and increase subsequent medical costs. This review considers and emphasizes the association between GERD and non-digestive tract conditions, including atrial fibrillation, chronic obstructive pulmonary disease, primary pulmonary fibrosis and energy metabolism related to diet.

Keywords: atrial fibrillation; atypical symptom; etiology; gastroesophageal reflux disease; non-digestive tract disease.

Publication types

  • Review

MeSH terms

  • Atrial Fibrillation / complications*
  • Diabetes Mellitus, Type 2 / complications*
  • Gastroesophageal Reflux / complications*
  • Gastroesophageal Reflux / diagnosis
  • Gastroesophageal Reflux / physiopathology
  • Gastroesophageal Reflux / therapy
  • Humans
  • Obesity / complications*
  • Pulmonary Disease, Chronic Obstructive / complications*
  • Pulmonary Fibrosis / complications*