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Recommendations for GERD Management
Clin Gastroenterol Hepatol; ePub 2017 Aug 4; Gyawali, et al
The management of gastroesophageal reflux disease (GERD) should start with empiric proton pump inhibitors (PPIs) in combination with lifestyle choices in patients without alarm symptoms, according to a recent review. Additional recommendations include:
- Improving the therapeutic regimen by improving compliance and timing of PPI doses.
- Increasing PPI doses to twice daily in certain patients to reduce persistent symptoms.
- Endoscopy should be considered in patients who continue to have symptoms.
Citation:
Gyawali CP, Fass R. Management of gastroesophageal reflux disease. [Published online ahead of print August 4, 2017]. Clin Gastroenterol Hepatol. doi:10.1053/j.gastro.2017.07.049.