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Management of Asymptomatic Erosive Esophagitis: An E-Mail Survey of Physician's Opinions

Authors
 Seong Woo Lim  ;  Jun Haeng Lee  ;  Jie-Hyun Kim  ;  Jeong Hwan Kim  ;  Heung Up Kim  ;  Seong Woo Jeon 
Citation
 GUT AND LIVER, Vol.7(3) : 290-294, 2013 
Journal Title
GUT AND LIVER
ISSN
 1976-2283 
Issue Date
2013
Keywords
Esophagitis ; Endoscopy ; Asymptomatic diseases ; Therapeutics
Abstract
BACKGROUND/AIMS:
The management of asymptomatic erosive esophagitis is controversial. We surveyed physicians' opinions on asymptomatic erosive esophagitis using e-mail.
METHODS:
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.
RESULTS:
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.
CONCLUSIONS:
There are substantial practice variations in the management of asymptomatic erosive esophagitis in Korea.
Files in This Item:
T201301971.pdf Download
DOI
10.5009/gnl.2013.7.3.290
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jie-Hyun(김지현) ORCID logo https://orcid.org/0000-0002-9198-3326
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87119
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