Ideal Approach to Gastroesophageal Reflux in Pregnancy

Corresponding Author: Vedat Goral, Department of Gastroenterology, Istanbul Medipol University Medical School Hospital, ISTANBUL, Turkey, Tel: 81-3-3480-1151 (3251); E-Mail: [email protected]

Received Date: 03 Jul 2018  
Accepted Date: 31 Jul 2018  
Copyright © 2018 Goral V

Citation: Goral V. (2018). Ideal Approach to Gastroesophageal Reflux in Pregnancy.  Mathews J Gastroenterol Hepatol 3(1): 011.

ABSTRACT

Gastroesophageal reflux disease (GERD) in pregnancy is more common among women who become pregnant at an early age, suffered from reflux during previous pregnancies, have had reflux before pregnancy even though the extent of reflux had been limited, and had multiple pregnancies. GERD is multifactorial and is rare during the first trimester and after delivery. Progesterone plays a major role, whereas the involvement of mechanical factors is minor. Serious reflux complications are rare. Extra-esophageal symptoms (cough, hoarseness, precordial pain, laryngitis, tooth damage) do not become more frequent. GERD may have a prevalence of 45% and may be asymptomatic. GERD may occur only on some days. Regurgitation is more common than heartburn. GERD is 3.79 times more common during pregnancy in women who had GERD prior to pregnancy. GERD may be different in each pregnancy woman. Raft-forming-antireflux agents are safe and effective in GER treatment during pregnancy