Korean J Med.
2013 Feb;84(2):186-195.
Proton Pump Inhibitor for Gastroesophageal Reflux Disease: Intelligent Prescription
- Affiliations
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- 1Department of Internal Medicine, Eulji University School of Medicine, Seoul, Korea. jyj1138@eulji.ac.kr
Abstract
- Gastroesophageal reflux disease (GERD) has a chronicity and its symptoms wax and wane by proton pump inhibitor (PPI) therapy. Chronic consumption of PPI in the patients with GERD is common, and we can cope with a PPI failure or refractory GERD. Therefore, we review various alternative modalities for chronic PPI treatment and an approach for refractory GERD. PPI has a potential for side effects. Many studies have been published the side effects of long-term PPI using. Mostly clinical level of evidence is weak and the absolute risk is low, however we may discuss the patients who need long-term PPI therapy about the controversial side effects, and manage those appropriately.