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Symptoms are a poor indication of severity of reflux in Barrett's oesophagus

Patients with Barrett's oesophagus have increased acid and duodenogastric reflux and impaired motility compared with non‐Barrett's patients with reflux disease. Impaired sensitivity to acid infusion and distension have also been described, but the relationship of this visceral response to symptoms is unclear. A symptom index was used to compare Barrett's and non‐Barrett's patients with reflux.