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TitleAlgoritma Gerd
TagsPlacebo Controlled Study Gastroesophageal Reflux Disease Antidepressant Heartburn Esophageal Cancer
File Size411.0 KB
Total Pages14
Table of Contents
                            An algorithm for diagnosis and treatment of refractory GERD
	Introduction
	Definition
	Diagnostic tests
		Upper gastrointestinal endoscopy
		Ambulatory 24-h esophageal pH monitoring
		Esophageal multichannel intraluminal impedance-pH monitoring (MII-pH)
		Esophageal Bilitec
	Treatment
		Lifestyle modifications
		Histamine 2 receptor antagonist (H2RA)
		Proton pump inhibitors
		Transient lower esophageal sphincter relaxation (TLESR) reducers
		Visceral pain modulators
		Botulinum toxin injection
		Antireflux surgery
		Alternative medicine
		Psychological treatment
	Summary
	Conflict of interest
	References
                        

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