GERD

GERD stands for gastroesophageal reflux disease — a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (oesophagus), causing heartburn, regurgitation, and discomfort. Carrying excess weight, especially around the abdomen, puts pressure on the stomach and makes GERD much more likely. Losing even 5–10% of your body weight can significantly reduce or even eliminate GERD symptoms.

Gastroesophageal reflux disease (GERD) is defined by the Montreal classification as a condition that develops when reflux of gastric contents causes troublesome symptoms (heartburn, regurgitation) and/or complications (oesophagitis, stricture, Barrett oesophagus) occurring at least twice weekly. The pathophysiology in obesity is multifactorial: increased intra-abdominal pressure raises the gastroesophageal pressure gradient, promoting reflux; obesity is also associated with a higher prevalence of hiatal hernia and transient lower oesophageal sphincter relaxations. Weight loss — both conservative and post-bariatric — is a first-line intervention with robust evidence for symptom improvement.

GERD is one of the most common complications of obesity, and many patients do not realise their heartburn is directly linked to their weight. Dr Joseph Wang addresses GERD as part of a comprehensive weight management assessment at Accord Medical, because successful weight loss often resolves reflux without the need for long-term acid-suppressing medication.