Treatment of gastroesophageal reflux disease (gerd) involves a stepwise approach the goals are to control symptoms, to heal esophagitis, and to prevent recurrent esophagitis or other complications the treatment is based on (1) lifestyle modification and (2) control of gastric acid secretion through medical therapy with antacids or ppis or. Gerd initial treatment. Gerd surgery laparoscopic anti-reflux surgery for gerd may involve a procedure to reinforce the lower esophageal sphincter, called nissen fundoplication in this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present.
gerd initial treatment
Diagnostic approach to gerd refractory to initial treatment at present, patients who have gerd symptoms (ie heartburn and/or acid regurgitation) do not undergo initial endoscopy unless they have dysphagia, bleeding or weight loss instead, these patients are given a 4–8-week trial with a ppi to be taken in the morning before breakfast. Acid reflux or gerd can lead to some unpleasant symptoms, like heartburn, a sour taste in the mouth, and even difficulty swallowing. conventional medication is the most common form of treatment. Treatment of gastroesophageal reflux disease (gerd). • erosive esophagitis: initial ppi therapy is the treatment of choice for acute and maintenance therapy for patients with documented erosive esophagitis [i a*]. • take ppis 30-60 minutes prior to breakfast (and also dinner if taking twice daily) to optimize.
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