AI Article Synopsis
- GERD affects approximately 13% of adults globally, with up to 25% of patients experiencing sleep disturbances likely due to nocturnal reflux.
- There is evidence of a bidirectional relationship between GERD and sleep issues, with nocturnal GER often being more complicated and linked to conditions like obstructive sleep apnea.
- Treatment for nocturnal GER includes lifestyle changes, optimized medication regimens with proton-pump inhibitors, and possible surgical or endoscopic procedures to improve sleep quality.
Article Abstract
Gastroesophageal reflux disease (GERD) is a prevalent, chronic medical condition that affects 13% of the adult population globally at least once a week. Sleep disturbances are frequently encountered in up to 25% of the GERD patients, likely due to nocturnal gastroesophageal reflux (GER). With advance in diagnostic techniques allowing for an improved understanding of involved physiological mechanisms of nocturnal reflux, there is growing evidence of a bidirectional relationship between GERD and sleep disturbances. Furthermore, nocturnal GER is associated with more complicated GERD. Obstructive sleep apnea (OSA) and GERD also have been linked, but to what degree remains controversial. Treatment of nocturnal GER has been shown to improve both subjective and objective sleep measures. The therapeutic approach includes lifestyle modifications and medication individualization and optimization with proton-pump inhibitors serving as the mainstay of treatment. Antireflux surgery and newer endoscopic procedures have been demonstrated to control nocturnal GER.
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| http://dx.doi.org/10.1097/MCG.0000000000001382 | DOI Listing |
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