The Role of Gastroesophageal Reflux in Relation to Symptom Onset in Patients with Proton Pump Inhibitor-Refractory Nonerosive Reflux Disease Accompanied by an Underlying Esophageal Motor Disorder
Author(s) -
Shinya Izawa,
Yasushi Funaki,
Akihito Iida,
Kentaro Tokudome,
Yasuhiro Tamura,
Naotaka Ogasawara,
Makoto Sasaki,
Kunio Kasugai
Publication year - 2014
Publication title -
digestion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.882
H-Index - 75
eISSN - 1421-9867
pISSN - 0012-2823
DOI - 10.1159/000356222
Subject(s) - nerd , reflux , gastroenterology , medicine , proton pump inhibitor , gerd , refractory (planetary science) , achalasia , esophageal ph monitoring , esophageal motility disorder , high resolution manometry , disease , esophagus , physics , astrobiology
The symptom improvement rate is low with proton pump inhibitors (PPIs) in nonerosive reflux disease (NERD). The underlying pathogenic mechanism is complex. Esophageal motility disorders (EMDs) are thought to be a factor, but their prevalence, type, symptoms and the role played by gastroesophageal reflux (GER) in symptom onset have not been fully investigated.
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