Reflux Reflux symptoms can be experienced secondary to a range of problems that are not always acid related. Even in those related to acid reflux the OGD can be macroscopically normal in 85%. 15-30% of case are due to true gastro-oesophageal reflux disease, >70% is related to non erosive reflux disease (NERD) A recent trial by E. Savarino has helped…
Gastroenterology 2008;135:1528-1533 Type 1 – Classic achalasia with minimal oesophageal pressurization Type 2 – Achalasia with oesophageal compression Type 3 – Achalasia with spasm, functional obstruction, some peristalsis Response to therapy Type 1 – 56% overall Type 2 – 71% BoTox, 91% Balloon Dilatation, 100% Heller’s Myotomy Type 3 – 29% overall