New Guidelines Urge Limiting Endoscopy for GERD

Avatar for cmkarla
Registered: 01-03-2001
New Guidelines Urge Limiting Endoscopy for GERD
Tue, 12-04-2012 - 9:28am

According to Health Day News, "Heartburn can usually be diagnosed and managed without the use of an invasive procedure called an upper endoscopy, according to new recommendations for doctors.

Many physicians perform upper endoscopies to screen people who have had long-term heartburn for cancer of the esophagus because heartburn, also known as gastroesophageal reflux disease (GERD), can raise the risk of this cancer." MORE

Your thoughts?


iVillage Member
Registered: 07-27-2000
Sun, 12-16-2012 - 7:01pm
I've had GERD forever and for the most part it's under control with Nexium, but as my last GI said, there is ALWAYS some acid in your stomach, no matter what pills you take. So if you are prone to reflux, you'd still be at some risk of esophageal cancer, and that's one you don't want to get, from what I've been told. Funny only lately have I come across 2 sites now saying heartburn is the same as GERD. My past GI said GERD has a lot more to it, it's more serious and often needs the PPIs to help rather than the older ones. I'd much rather play it safe and just have the scope done if my symptoms bother me more than usual. As far as the biopsy being necessary or not, this same past GI told me something like "as long as we're down there....", so to play it safe she just did biopsies to BACK UP her findings or to rule out other ones.



Community Leader
Registered: 07-25-2000
Tue, 12-11-2012 - 12:01pm

It was interesting to me. I recently had a screening colonoscopy at a local  digestive diagnostic center. I listened to the conversations around me and most of the people who were there were having upper g-i scopes. To a person, the doctor came out and said, "everything is fine, but we did a biopsy just to be sure." I guess if I were the patient that would be reassuring to me, but I just wondered about the necessity of the biopsies if everything indeed was fine.