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소화기 운동 관련 질환의 치료에 관한 임상진료지침 ; 위식도역류질환의 치료에 관한 임상진료지침

Title
소화기 운동 관련 질환의 치료에 관한 임상진료지침 ; 위식도역류질환의 치료에 관한 임상진료지침
Other Titles
Guidelines for the Treatment of Gastroesophageal Reflux Disease
Authors
Jun Haeng Lee;Yu Kyung Cho;Young Tae Bak;Joon Seong Lee;Na Young Kim;Jie Hyun Kim;Seong Woo Jeon
Issue Date
2011
Journal Title
Korean Journal of Gastroenterology (대한소화기학회지)
ISSN
1598-9992
Citation
Korean Journal of Gastroenterology (대한소화기학회지), Vol.57(2) : 57~66, 2011
Abstract
Gastroesophageal reflux disease (GERD) is defined as a condition that develops when the reflux of stomach contents causestroublesome symptoms and/or complications. In the last decade, GERD has been increasing in Korea. Seventeen consensus statements for the treatment of GERD were developed using the modified Delphi approach. Acid suppression treatments, such as proton pump inhibitors (PPIs), histmine-2 receptor antagonists and antacids are effective in the control of GERD-related symptoms. Among them, PPIs are the most effective medication. Standard dose PPI is recommended as the initial treatment of erosive esophagitis (for 8 weeks) and non-erosive reflux disease (at least for 4 weeks). Long-term continuous PPI or on-demand therapy is required for the majority of GERD patients after the initial treatment. Anti-reflux surgery can be considered in well selected patients. Prokinetic agents and mucosal protective drugs have limited roles. Twice daily PPI therapy can be tried to control extra-esophageal symptoms of GERD. For symptomatic patients with Barrett`s esophagus, long-term treatment with PPI is required. Further studies are strongly needed to develop better treatment strategies for Korean patients with GERD
URI
http://kiss.kstudy.com/journal/thesis_name.asp?tname=kiss2002&key=2892421

http://ir.ymlib.yonsei.ac.kr/handle/22282913/93002
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
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