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

Other Titles
 Guidelines for the Treatment of Gastroesophageal Reflux Disease 
 Jun Haeng Lee  ;  Yu Kyung Cho  ;  Seong Woo Jeon  ;  Jie Hyun Kim  ;  Na Young Kim  ;  Joon Seong Lee  ;  Young Tae Bak 
 Korean Journal of Gastroenterology, Vol.57(2) : 57-66, 2011 
Journal Title
Korean Journal of Gastroenterology
Issue Date
Gastroesophageal Reflux/economics ; Gastroesophageal Reflux/therapy* ; Histamine Antagonists/therapeutic use ; Humans ; Practice Guidelines as Topic ; Proton Pump Inhibitors/therapeutic use
Gastroesophageal reflux disease ; Treatment ; Guideline
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
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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
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