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Pharmacological Management of Gastro-Esophageal Reflux Disease: An Update of the State-of-the-Art by Vincenzo Savarino; Elisa Marabotto; Patrizia Zentilin; Maria Giulia Demarzo; Nicola de Bortoli; Edoardo Savarino is a Medicine article available to read on EtoBox.

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## Abstract Gastro-esophageal reflux disease (GERD) is a highly prevalent, chronic disorder, whose knowledge remains limited and the management of these patients changes continuously. This review provides a summary of the most recent advancements in the pathogenesis of this disease and the new drugs introduced into the market to overcome some of the unmet needs of traditional therapies. Nowadays, the most fruitful diagnostic examinations are 24-hour impedance-pH monitoring, which allows us to separate true NERD from esophageal functional disorders and high-resolution manometry, which helps to exclude the existence of motility disorders sharing the same symptoms of GERD. Proton pump inhibitors (PPIs) remain the first-choice therapy in the treatment of GERD, but a consistent proportion of these patients continue to experience symptoms despite their intake. These cases pertain mainly to the subpopulation with non-erosive reflux disease (NERD) and represent very challenging clinical situations, because it is mandatory to understand the reasons for PPI failure. The management of these difficult patients requires necessarily to test them and avoid the use of empiric treatments that are o

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Author

Vincenzo Savarino; Elisa Marabotto; Patrizia Zentilin; Maria Giulia Demarzo; Nicola de Bortoli; Edoardo Savarino

Publisher

Dove

Published

2021

Language

EN

Field

Medicine (Health Sciences)