McMaster Textbook of Internal Medicine

McMaster Textbook of Internal Medicine
Interviews
Gastroenterology
Treatment of GERD with extraesophageal symptoms

Treatment of GERD with extraesophageal symptoms

2016-09-15

Peter Malfertheiner

What is the recommended treatment in patients with extraesophageal symptoms of gastroesophageal reflux disease (GERD)? Is it different from the standard treatment of GERD?

Peter Malfertheiner: No, if we have established reflux underlying these symptoms, we would only increase the dose of proton pump inhibitors (PPIs) and have a prolonged period of treatment in order to achieve response. That is the difference. But it is still the maximal acid inhibition possible with a double standard dose to help these patients.

See also

Role of 24-hour pH-metry in GERD What is the role of 24-hour pH-metry in patients with atypical gastroesophageal reflux disease (GERD) and in those with classic GERD? At what stage of diagnostic workup should pH-metry be performed?
Monitoring mucosal healing in patients with celiac disease How should we monitor mucosal healing in patients with celiac disease?
Patient with laryngitis or cough and suspicion of GERD What findings in history or physical examination in a patient with laryngitis or chronic cough should raise the suspicion of gastroesophageal reflux disease (GERD)?
Maastricht V: what is new in the management of H pylori infection A lecture by Prof. Peter Malfertheiner, from Otto v. Guericke University, Germany, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2016.

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