Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	113687
Country	Sri Lanka

Category	Gastroenterology & Hepatology
Manuscript Type	Observational Study
Article Title	Dietary and nutritional correlates of gastroesophageal reflux disease symptoms: A comprehensive island-wide study in Sri Lanka
Manuscript Source	Invited Manuscript
All Author List	Nilanka Wickramasinghe, Ahthavann Thuraisingham, Achini Jayalath, Dharmabandu Nandadeva Samarasekera, Etsuro Yazaki, Ranil Jayawardena and Niranga Manjuri Devanarayana
Funding Agency and Grant Number	Funding Agency Grant Number University Grants Commission UGC/VC/DRIC/PG2019(1)/CMB/01 University of Colombo, Sri Lanka AP/3/2/2020/SG/11
Corresponding Author	Niranga Manjuri Devanarayana, Department of Physiology, Faculty of Medicine, University of Kelaniya, Thalagolla Road, Ragama 11010, Western Province, Sri Lanka. niranga@kln.ac.lk
Key Words	Diet; Dietary habits; Gastroesophageal reflux disease; Nutrition; Heartburn
Core Tip	This nationwide study, the first of its kind in Sri Lanka, comprehensively evaluated dietary and nutritional factors associated with gastroesophageal reflux disease (GERD) symptoms among 1200 adults across all 25 districts. Oily foods, bread, wheat, coffee, and sour or vinegar-based foods, along with dietary habits such as skipping breakfast, consuming midnight snacks, and lying down soon after meals, showed significant associations with GERD symptoms. Interestingly, bread, identified as a novel trigger in this population, had not been reported previously in global literature. Contrary to popular belief, there was no association between GERD and overall caloric intake, nutrient composition, or obesity. These findings emphasize that effective GERD management should extend beyond pharmacological therapy to include culturally specific dietary and lifestyle modifications.
Citation	Wickramasinghe N, Thuraisingham A, Jayalath A, Samarasekera DN, Yazaki E, Jayawardena R, Devanarayana NM. Dietary and nutritional correlates of gastroesophageal reflux disease symptoms: A comprehensive island-wide study in Sri Lanka. World J Gastrointest Surg 2026; In press

Received	2025-09-01 07:18
Peer-Review Started	2025-09-01 07:18
First Decision by Editorial Office Director	2025-10-11 06:52
Return for Revision	2025-10-11 07:42
Revised	2025-10-25 09:30
Publication Fee Transferred
Second Decision by Editor	2026-01-20 02:36
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-20 08:25
Articles in Press	2026-01-20 08:25
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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