Abstract：
BACKGROUND: Upper gastrointestinal (UGI) symptoms are very common in the general adult population. Dysphagia, heartburn, regurgitation and non-cardiac chest pain are the most common signs. The clinical approach in managing these symptoms starts with upper GI endoscopy in order to exclude inflammatory, neoplastic and fibrotic disorders that involve the esophagus. Upper GI endoscopy is mandatory especially when alarm signs exist. In patients with no structural abnormalities, physiological testing might aid to better understand the origin of the symptoms and to improve management.
摘要：
背景：上消化道（UGI）症状在一般成年人群中非常常见。吞咽困难,胃灼热,反流和非心源性胸痛是最常见的体征。治疗这些症状的临床方法从上消化道内窥镜检查开始，以排除炎症，涉及食道的肿瘤和纤维化疾病。上消化道内窥镜检查是强制性的，尤其是当存在警报信号时。在没有结构异常的患者中，生理测试可能有助于更好地了解症状的起源并改善管理。
