Refluxkrankeit: Konservative Therapie. [Reflux disease: conservative therapy]
Détails
ID Serval
serval:BIB_671BDDA75B35
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Refluxkrankeit: Konservative Therapie. [Reflux disease: conservative therapy]
Périodique
Schweizerische Rundschau fur Medizin Praxis
ISSN
1013-2058 (Print)
Statut éditorial
Publié
Date de publication
05/2002
Volume
91
Numéro
18
Pages
791-9
Notes
English Abstract
Journal Article
Review --- Old month value: May 1
Journal Article
Review --- Old month value: May 1
Résumé
Gastroesophageal reflux disease--one of the most common gastroenterological disorders--is characterized by reflux symptoms (occasionally respiratory symptoms or laryngeal complaints) and/or mucosal lesions. Improvement of symptoms and thus of the quality of life, prevention of relapse and of complications are the most important aims of short and long term treatment. Proton pump inhibitors are superior to histamine receptor antagonists and are the treatment of choice. Relapses occur in about 75% of patients within one year after stopping of acute treatment. The treatment strategy depends on the severity of symptoms and esophageal lesions. Patients with mild esophagitis or endoscopic negative disease can be treated with proton pump inhibitors on demand. In severe and complicated cases, the uninterrupted long-term use of proton pump inhibitors is indicated. In these cases laparoscopic fundoplication could be a possible--albeit problematic--alternative. New endoscopic interventional therapies should only be used in controlled studies. Their role in the treatment of GERD will only be known in a few years when adequately controlled long term studies will be available.
Mots-clé
Anti-Ulcer Agents/*therapeutic use
Esophagitis, Peptic/diagnosis/*drug therapy
Esophagoscopy
Fundoplication
Gastroesophageal Reflux/diagnosis/*drug therapy
Humans
Proton Pumps/*antagonists & inhibitors
Pubmed
Création de la notice
25/01/2008 16:08
Dernière modification de la notice
20/08/2019 14:22