Gastroesophageal reflux disease questionnaire score and endoscopic findings in patients with gastroesophageal reflux disease

Background: Gastroesophageal reflux disease (GERD) is one of the most common conditions encountered in the in- and outpatient clinic, may present with heartburn and acid regurgitation, and it can be asymptomatic too. Furthermore, chronic recurrent cases lead to potentially preventable complications such as esophageal erosion, stricture, and even ulcers. Objective: The aim of the study is to evaluate the accuracy of history taking from patients with GERD and compare it with endoscopic findings. Patients and Methods: This study was conducted in GIT center, Department of Medicine at Al-Yarmouk Teaching Hospital from November 2017 to March 2018. One hundred patients (65 males and 35 females) referred for oesophagogastroduodenoscopy (OGD) for symptoms suggesting of GERD; the assumed indication of their referral, severity of their condition evaluated using GERD Questionnaire (GERDQ score), and their endoscopic finding were assessed depending on Los Angeles classification of erosive esophagitis. Results: A total of 100 patients were enrolled in this study, including 42 patients had erosive esophagitis and 58 had not. There was statistical significance in the GERDQ score of erosive esophagitis group (9.5 ± 1.2) and nonerosive esophagitis group (8.6 ± 1.98); P < 0.05 showing that significant correlation between the score and the occurrence of erosive esophagitis. GERDQ score and the severity of reflux esophagitis were positively correlated. Conclusion: There was correlation between GERDQ score and the severity of esophageal erosion by endoscope in patients with GERD, GERDQ a valid scoring system that scientifically correlates between clinical symptoms and history findings with the endoscopic result.