Information in this section pertains to all global PEN® partners except where country flags are
visible. Click on the flag(s) for country-specific information. If a country flag is not listed, there is
no information specific to that country.
Definition of GERD
The Gastroenterological Society of Australia (GESA) 2011 Guidelines state: ”Reflux of gastric contents into the oesphagus is a normal physiological event, occurring usually during the postprandial period” (1). However, disease occurs when symptoms affecting quality of life or clinical physical complications occur after excessive esophageal exposure to acidic and erosive gastric contents, pepsin and potentially bile and pancreatic enzymes. Consensus among