his study aimed to examine the clinical features and endoscope imagery of gastroesophageal reflux disease (GERD) in the elderly. We conducted a cross - sectional study of 96 elderly patients from Bach Mai hospital’s gastroscopy unit. 58.3% of the patients were female. The mean age was 73.12 + 8.22, with a range from 60 - 92 years old. The majority of participants suffered from GERD for less than one year (50%). The most common clinical symptoms were burning (67.7%), epigastric pain (63.5%) and heartburn (63.5%). Other symptoms included persistent cough (30.2%) and dysphasia (25.0%). The most common risk factors for GERD were being overweight or obese (40.6%) and alcohol or beer consumption (21.9%). Most of the patients were found to have pharyngitis grade A (49.9%) or pharyngitis grade B (34.4%). Patients commonly had accompanying gastritis symptoms. Additionally, the proportion of patients with Barrett’s esophagus was high at 30.3%. In conclusion, popular signs of GERD in this elderly patient population included burning, epigastric p