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Does my patient still have reflux when ppi therapy does not work?
Author(s) -
Vaezi M. F.
Publication year - 2017
Publication title -
neurogastroenterology and motility
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.489
H-Index - 105
eISSN - 1365-2982
pISSN - 1350-1925
DOI - 10.1111/nmo.13065
Subject(s) - gerd , disease , medicine , reflux , presentation (obstetrics) , pathophysiology , intensive care medicine , work up , surgery
Gastroesophageal reflux disease ( GERD ) is a common condition around the world. The management of this disease is less than satisfying given complexity of patient presentation and suboptimal diagnostic testing when employed for those poorly responsive to acid suppressive therapy. In this mini review, we discuss some new strategies employed for patients with suspected GERD to better understand disease pathophysiology. We compare the strategies and outline a clinically relevant approach in this difficult group of patients.