Treatment of mild to moderate gastroesophageal reflux disease
Colonography, Computed Tomographic
Gastroesophageal reflux disease (GERD) is seen commonly by physicians across many specialities. At least 10% of the United States population have daily heartburn symptoms, while countless others have less frequent symptoms. Management of symptoms in patients with mild to moderate GERD without erosive esophagitis requires a systematic approach beginning with lifestyle modification and over-the-counter H 2 antagonists and/or antacids, proceeding as required to prescription pharmacologic management with H 2 antagonists, prokinetic agents, and/or proton pump inhibitors. The efficacy, safety, and costs of the available therapeutic alternatives must be considered in choosing acute and long-term therapy. Appropriate use of endoscopy and other diagnostic tests is important in establishing a diagnosis of nonerosive mild GERD.