Cited by 43Gastroesophageal reflux and treatmentsGastrointestinal motility and disordersHelicobacter pylori-related gastroenterology studies

Nocturnal Gastroesophageal Reflux Disease (GERD) and Sleep: An Important Relationship That Is Commonly Overlooked

Shibli, Fahmi, Skeans, Jacob, Yamasaki, Takahisa, Fass, Ronnie·2020·Journal of Clinical Gastroenterology

Abstract

Gastroesophageal reflux disease (GERD) is a prevalent, chronic medical condition that affects 13% of the adult population globally at least once a week. Sleep disturbances are frequently encountered in up to 25% of the GERD patients, likely due to nocturnal gastroesophageal reflux (GER). With advance in diagnostic techniques allowing for an improved understanding of involved physiological mechanisms of nocturnal reflux, there is growing evidence of a bidirectional relationship between GERD and sleep disturbances. Furthermore, nocturnal GER is associated with more complicated GERD. Obstructive sleep apnea (OSA) and GERD also have been linked, but to what degree remains controversial. Treatment of nocturnal GER has been shown to improve both subjective and objective sleep measures. The therapeutic approach includes lifestyle modifications and medication individualization and optimization with proton-pump inhibitors serving as the mainstay of treatment. Antireflux surgery and newer endoscopic procedures have been demonstrated to control nocturnal GER.

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Crossref · 10.1097/mcg.0000000000001382

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Authors
Shibli, F., Skeans, J., Yamasaki, T., & Fass, R.
Affiliations
MetroHealth (US)
Corresponding author
Fass, Ronnie
Venue
Journal of Clinical Gastroenterology
Published
2020-07-10
Volume
54
Issue
8
Pages
663-674
ISSN
0192-0790 (ISSN-L)
OpenAlex
W3042339346
Cited by
43
References
175
Citations by year
2026: 10 · 2025: 6 · 2024: 2 · 2023: 12 · 2022: 8 · 2021: 5
FWCI
5.43
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Clinical Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Medicine › Surgery › Helicobacter pylori-related gastroenterology studies
Keywords
gastroesophageal reflux disease, nocturnal reflux, sleep disorders, obstructive sleep apnea, proton pump inhibitors, antireflux surgery, lifestyle modification
MeSH terms
Adult, Gastroesophageal Reflux, Humans, Sleep, Sleep Wake Disorders, Polysomnography, Sleep Apnea, Obstructive

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