We recommend optimization of PPI therapy as the first step in management of refractory GERD. Moderate, Strong. We recommend esophageal pH monitoring (Bravo, ...

30 янв. 2024 г. · A lower AET threshold of 4% is adequate to affirm refractory GERD in this context; a finding of reflux episodes > 80 is supportive.3,8,36,37 ...

Gastroesophageal reflux disease (GERD) is a common disorder that is treated with lifestyle modification, weight loss, and medications, such as proton pump ...

14 мая 2024 г. · Alarm features · Patients with alarm features · - Early upper endoscopy · Patients without alarm features · - General measures · - Optimize PPI ...

The aim of this paper is to review the different management options available to successfully deal with rGERD. Abstract · Therapy of rGERD · Endoscopic and Surgical...

The management options for PPI refractory GERD include optimisation of PPI, lifestyle modifications, and the addition of alginates and histamine-2 receptor ...

9 авг. 2023 г. · A comprehensive discussion of the various treatment options is provided, including lifestyle modifications, pharmacotherapy, endoscopic therapies, and surgical ...

NERD patients refractory to PPI should undergo further tests, including prolonged pH monitoring, impedance testing for nonacid gastroesophageal reflux,.

This article discusses approaches to the esophageal diagnostic workup of patients with refractory symptoms in the setting of proven GERD.

Cases where patients exhibit no response or improvement following an 8-week regimen of PPIs at the recommended dosage are termed refractory GERD.