Clinical management of patient with refractory gastroesophageal reflux disease

Abstract

Gastroesophageal reiflux disease is a widespread pathology. The management of patients with GERD is not limited to gastroenterologists, but also to general practitioners and therapists. For effective treatment, it is important to know the drug and non-drug methods of treatment. Non-drug treatment includes modification of risk factors that trigger an exacerbation: obesity, smoking, body torso. The diet is an important method of treatment. Treatment includes the prescription of inhibitors of the proton pump, antacids, prokinetic. If Helicobacter pylori is detected, eradication therapy should be carried out. One of the frequent reasons for refractory to standard therapy is gastroduodenal reflux. The addition of ursodeoxycholic acid to treatment increases the effectiveness of therapy.