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    Are More People Getting GERD?

    Scientists believe that gastroesophageal reflux disease, or GERD, is occurring with increasing frequency, but few studies have examined this. Researchers presented results of a study that suggests a sharp increase in the occurrence of GERD, at the Digestive Disease Week 2000 meeting in San Diego.

    Karna D. Bardhan, M.D. and his colleagues from Rotherham General Hospitals NHS Trust in Rotherham, United Kingdom examined the records of patients seen in their center for upper gastrointestinal disease over a period of 20 years (between 1977 and 1996) to determine whether the incidence of GERD has increased, and whether there have been any changes in the types of patients developing GERD.

    The study found a five-fold increase in the number of patients diagnosed with GERD during the last five years of the study (3812 new cases from 1992-1996), when compared with the number of patients diagnosed with GERD during the first five years of the study (714 new cases from 1977-1981). During the second and third five year periods of the study, the numbers increased dramatically as well, with 1586 patients diagnosed from 1982-1986 and 2381 patients diagnosed from 1987-1991.

    The demographic profile of GERD patients is changing too; an increasing number of women are getting GERD now but the reasons for this are still not clear.

    In addition, the mean age of patients at the time of diagnosis has increased from 48 years of age to 53 years of age, explained Dr. Bardhan, adding, "There is an age relation, but exactly how it ties in, is difficult to say."

    Scientists believe certain lifestyle factors like diet, alcohol intake and smoking play a role in the development of GERD, but much of the research stops short of identifying specifics like how these things affect one's risk and to what extent.

    "I believe what we are seeing here is a major Western epidemic and…an example of (a) disease in evolution," said Dr. Bardhan.



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