Kelainan dgn gejala2 dgn atau tanpa kelainan mukosa esofagus sebabkan ggn kualitas
hidup
akibat
refluks
cairan
lambung-duodenum kedlm esofagus
o
30-50% adanya refluks; refluks;
penduduk
mengeluh
heartburn dan dan 12-2!
ditemukan adanya esofagitis o
$&' iceberg
atau "2%#
tiologi ( ( asam lambung ) pepsin tiologi asam empedu ) en*im pankreas
+aktor resiko $&' -merokok, alkohol, kopi -obesitas, makanan tinggi lemak -produk makanan ( coklat, pepermint, minuman bikarbonat, jus lemon -obat-obatan, dll
•
•
$ jala klinik khas ( h a r t b u r n dan atau r fluks $ejala klinik &' "onerosi.e &eflu/ 'isease# dan $&' tidak berbeda
The frequent of symptoms in GERD (heartburn/regurgitation) (heartburn/r egurgitation) is directly related to percentage of time that the esophageal pH is below ! and the degree of esophagitis is also also proportional proportional to degree and duration duration of esophageal acid e"posure
The symptoms pattern pattern is #ery similar similar in GERD GERD patients with and without esophagitis and heartburn is the most Heartburn ($%%&) common symptom Epigastric pain
'atu* / asma Ge+ala, laring (disfonia! suara parau globus sensasi) on. cardiac chest pain (0) Dental erosi
4da 3 f notip $%&' ( 1 - o n r o s i . g a s t r o s o p h a g a l r f lu lu / d i s a s "%&'# t d k d i t m u k a n k l a i n a n s t r ukt ukt u r p a d a ndoskopi "%ndoscopy-n gati. r flu/ dis as # bisa b rk mbang ( %$%&' 5 6arr tt 2 %rosif sofagitis "%$%&'# - dit mukan l si mukosa "mucosal br ak# pada ndoskopi 1 234 GE2E4 lassi5cation 3 6arr tt sofagitis l si l bih b rat
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