Foreword. Upper GI tract disorders

Update on gastro-oesophageal reflux disease

Initially, diagnosis of gastro-oesophageal reflux disease (GORD) is based on symptoms alone. A symptom-based diagnosis can be supported by a trial of proton pump inhibitor therapy.

GORD in infants and children: when to investigate and when to treat

To avoid over-treatment, it is important to distinguish between uncomplicated gastro-oesophageal reflux and GORD, particularly in infants.

Dealing with reflux in pregnancy

An approach to managing the common complaint of heartburn during pregnancy is outlined.

Helicobacter pylori infection: when to search for it and how to diagnose it

Most individuals infected with Helicobacter pylori do not develop clinically significant disease, hence it is important to know when to diagnose and treat H. pylori infection.

Towards a diagnosis of functional dyspepsia

It is often difficult to distinguish functional dyspepsia from GORD as the symptoms overlap considerably.

Investigation and management of noncardiac chest pain

In most cases the natural history of noncardiac chest pain is benign. GORD is the most common underlying cause.