Gastroesophageal reflux disease (GERD)

A chronic disease in which the contents of the stomach, including hydrochloric acid and sometimes bile, are thrown back into the esophagus (reflux).
Gastroesophageal reflux disease (GERD)
GERD develops due to an imbalance between the aggressive effects of gastric contents and the protective mechanisms of the esophagus. The main reason is the failure of the lower esophageal sphincter, which cannot fully close. This may be due to anatomical features, obesity, pregnancy, or taking certain medications. The constant effect of acid on the mucous membrane of the esophagus leads to inflammation, the formation of erosions and ulcers. It is important for patients with GERD to see a doctor regularly, especially if there are complications. It is recommended to avoid stress, give up smoking and alcohol, and follow a diet. If acute symptoms occur, such as severe pain or vomiting of blood, seek immediate medical attention.

Reasons

Obesity or overweight.

Overeating, especially before bedtime.

Pregnancy (due to increased intra-abdominal pressure).

Taking medications that reduce the tone of the lower esophageal sphincter (nitrates, calcium channel blockers, theophylline).

Lifting weights or intense physical activity.

Smoking and alcohol abuse.

Symptoms

Heartburn (burning sensation behind the sternum).

Belching is sour or bitter.

Regurgitation of food.

Pain in the esophagus or behind the breastbone.

Swallowing disorder (dysphagia).

Consequences

The most serious complications of GERD, which develop against the background of a long-term course of the disease, are stricture (narrowing) of the esophagus, the appearance of intestinal epithelial cells in the mucous membrane of the esophagus due to dystrophic changes (Barrett's esophagus) and adenocarcinoma.

Treatment

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Conservative treatment
Proton pump inhibitors (PPIs), which reduce the production of hydrochloric acid in the stomach, are the mainstay of GERD treatment. The course of treatment usually lasts at least 4 weeks, but can be extended if there are complications. To improve the motility of the gastrointestinal tract, prokinetics can sometimes be prescribed, which prevent the contents of the stomach from being thrown into the esophagus. If reflux is accompanied by bile withdrawal, drugs can be used to neutralize its effect. Lifestyle changes play an important role: normalization of body weight, avoiding overeating and eating 2-3 hours before bedtime, and eliminating foods that provoke heartburn (coffee, chocolate, spicy and fatty foods). You can also raise the headboard by 15-20 cm to prevent nighttime reflux.
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Surgical treatment
Surgical intervention is considered if conservative treatment is ineffective or complications develop. The most common operation is fundoplication, in which a "cuff" is formed around the lower part of the esophagus from the stomach wall. This prevents the contents of the stomach from being thrown into the esophagus. In the presence of Barrett's esophagus or high-grade dysplasia, endoscopic removal of altered mucosal areas may be required. In the case of esophageal stricture, it is expanded by means of bougie or balloon dilation.

How to reach

Olymp Clinic MARS
Olymp Clinic Sadovaya
Olymp Clinic OGNI
Children's clinic Olymp Clinic MARS
Worktime
Mon–Sun Around the clock
Now is opened
Address
Moscow, 1st Yamskogo Polya Street, 15
  • Route from exit 4 of the «Belorusskaya» metro station
  • Route from exit 2 of the «Belorusskaya» metro station
Route

How to get

From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.

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Travel time

9 minutes

Landmark

Olympus Clinic MARS sign

How to get

From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS

Read full
Travel time

11 minutes

Landmark

Olympus Clinic MARS sign

Схема проезда к парковке

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Worktime
Mon–Sun 09:00-21:00
Now is opened
Address
7/1 Sadovaya-Sukharevskaya str., 129090, Moscow
  • Route from the «Sukharevskaya» metro station
  • Route from the «Tsvetnoy Boulevard» metro station
Route

From the metro station "Tsvetnoy Bulvar"

1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini

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From the metro station "Sukharevskaya"

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Схема проезда к парковке

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Worktime
Mon–Sun 08:00-21:00
Now is opened
Address
Moscow, 125124, Chapaevsky lane, 3
  • The route from the «Airport» metro station
  • Route from the «Sokol» metro station
Route

From Sokol metro station

The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

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Travel time

10-12 minutes

From the Airport metro station

The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Read full
Travel time

12-15 minutes

Схема проезда к парковке

How to get

Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car.

Worktime
Mon–Sun Around the clock
Now is opened
Address
Moscow, 1st Yamskogo Polya Street, 15/4
  • Route from exit 4 of the «Belorusskaya» metro station
  • Route from exit 2 of the «Belorusskaya» metro station
Route

How to get

From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.

Read full
Travel time

9 minutes

Landmark

Olympus Clinic MARS sign

How to get

From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS

Read full
Travel time

11 minutes

Landmark

Olympus Clinic MARS sign

Схема проезда к парковке

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic