Minor psychiatric disorders and objective diagnosis of gastroesophageal reflux disease.
Rafael Melillo Laurino NetoFernando Augusto Mardiros HerbellaAndre ZugmanVic VelanovichBeth MonteraFrancisco SchlottmannMarco G PattiPublished in: Surgical endoscopy (2019)
Almost half of the patients evaluated for GERD did not have the disease on objective evaluation. GERD + and GERD - patients had similar levels of MPD. However, the amount of reflux correlated negatively with the severity of anxiety. Symptoms and HADS cannot accurately diagnose or exclude GERD. pH monitoring should be more liberally used especially in patients with high levels of anxiety.