Gastroesophageal reflux disease (gerd) is mainly a clinical diagnosis based on typical symptoms of heartburn and acid regurgitation current guidelines indicate that patients with typical symptoms should first try a proton pump inhibitor (ppi) if reflux symptoms persist after 8 weeks on a ppi, endoscopy of the esophagus is recommended, with biopsies taken to rule out eosinophilic esophagitis. Gerd management. Katz po medical therapy for gastroesophageal reflux disease in 2007 rev gastroenterol disord 2007 fall 7(4):193-203 fass r, sifrim d management of heartburn not responding to proton pump inhibitors gut 2009 feb 58(2):295-309 fass r proton pump inhibitor failure--what are the therapeutic options?.
gerd management
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