Med Plus Articles

aricles Index

Gastroesophageal reflux disease and asthma: the two are directly related.

Am J Med 2000 Mar 6;108 Suppl 4a:153S-158S
(ISSN: 0002-9343)

Richter JE
Department of Gastroenterology, The Cleveland Clinic Foundation, Ohio 44195, USA.

GERD and asthma have met the three criteria set out to prove a relationship between the two diseases. Patients with GERD have a higher prevalence of asthma, and there are several pathophysiologic mechanisms by which acid reflux can cause bronchospasm. Furthermore, aggressive antireflux therapy in patients with asthma and GERD results in improvements in asthma outcome in as many as 70% to 80% of patients treated in both medical and surgical series. Nevertheless, there are design flaws in many of the outcome studies performed to date. To further clarify this issue, future studies should be multicentered and placebo controlled using acid-suppressive therapy for at least 3 to 6 months with documentation of asthma outcome, cost analysis, and quality-of-life assessment. As with many things in medicine, all the data are not consistent. However, I strongly believe that the available data support the aggressive search for GERD and treatment in any patient with difficult-to-control asthma.

Major Subject Heading(s) Minor Subject Heading(s) CAS Registry / EC Numbers
  • Asthma [etiology]
  • Gastroesophageal Reflux [complications] [therapy]
  • Asthma [physiopathology] [therapy]
  • Combined Modality Therapy
  • Enzyme Inhibitors [therapeutic use]
  • Fundoplication
  • Gastroesophageal Reflux [drug therapy] [physiopathology] [surgery]
  • Gastrointestinal Agents [therapeutic use]
  • Histamine H2 Antagonists [therapeutic use]
  • Prevalence
  • Treatment Outcome
  • Vagus Nerve [physiopathology]
  • 0 (Enzyme Inhibitors)
  • 0 (Gastrointestinal Agents)
  • 0 (Histamine H2 Antagonists)

Top   •   Index

Руский English Español

We value your feedback! Let others know about your experience with us on any of the review sites below! 

523 Oceanview Ave, Brooklyn, NY 11235 • 1-(718)-332-6652
ab [aT] babydr [d0T]

designed by neo-archaic