Management of Asymptomatic Erosive Esophagitis: An E-Mail Survey of Physician's Opinions
Seong Woo Lim ; Jun Haeng Lee ; Seong Woo Jeon ; Heung Up Kim ; Jeong Hwan Kim ; Jie-Hyun Kim
Gut and Liver, Vol.7(3) : 290~294, 2013
Gut and Liver
The management of asymptomatic erosive esophagitis is controversial. We surveyed physicians' opinions on asymptomatic erosive esophagitis using e-mail.
All members of the Korean Society of Neurogastro-enterology and Motility were invited to answer the questionnaire on the treatment and follow-up of patients with asymptomatic erosive esophagitis by e-mail.
A total of 73 members answered the questionnaire (response rate, 18%). As initial management, 41% of respondents chose pharmacologic treatment, whereas 59% chose nonpharmacologic treatment. In the case of pharmacologic treatment, proton pump inhibitors were the preferred medication. The most common treatment duration was 4 weeks (43%), followed by 8 weeks (38%), and 6 months (11%). Sixty-two percent of the respondents recommended follow-up endoscopy annually, whereas 29% chose no endoscopic follow-up. Thirty-four percent of the respondents answered that they would talk about reflux-related sleep disturbances. Only 25% of the respondents explained the possibility of Barrett's esophagus or esophageal adenocarcinoma to their patients.
There are substantial practice variations in the management of asymptomatic erosive esophagitis in Korea.