Současné trendy v diagnostice a léčbě refluxní nemoci jícnu
Title in English | Current trends in the diagnosis and treatment of gastroesophageal reflux disease |
---|---|
Authors | |
Year of publication | 2018 |
Type | Article in Periodical |
Magazine / Source | Vnitřní lékařství |
MU Faculty or unit | |
Citation | |
Web | https://www.prolekare.cz/casopisy/vnitrni-lekarstvi/2018-6/soucasne-trendy-v-diagnostice-a-lecbe-refluxni-nemoci-jicnu-105519 |
Keywords | Barrett´s esophagus; esophageal impedance; esophageal stricture; fundoplication; gastroesophageal reflux; gastroesophageal reflux disease; proton pump inhibitors |
Description | Gastroesophageal reflux disease and its typical symptoms heartburn and regurgitation is one of the most common gastrointestinal disorders. Besides esophageal symptoms awareness of extraesophageal symptoms is increasing. The diagnosis is usually based on history of symptoms and on endoscopically visible esophageal injury in some patients. Normal endoscopic finding and refractory symptoms on standard treatment should evoke further examination. Proton pump inhibitors have been the mainstay of medical therapy. Long term maintenance treatment mayraise awareness of side effects and therapeutic alternatives. This review is focused of current available diagnostic and therapeutic strategies for gastroesophageal reflux disease. |