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胃食管反流病的管理。

Management of gastroesophageal reflux disease.

机构信息

Department of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, United States.

Division of Gastroenterology, Hepatology & Nutrition, Allegheny Health Network, Pittsburgh, PA, United States.

出版信息

Dis Mon. 2020 Jan;66(1):100849. doi: 10.1016/j.disamonth.2019.02.002. Epub 2019 Feb 22.

Abstract

Gastroesophageal reflux disease (GERD) continues to be one of the most prevalent gastrointestinal tract disorders. Management of GERD is individualized for each patient depending on severity of symptoms, complications of GERD and patient/physician preference. The different management options include life style modification, pharmacological therapy, minimally invasive procedures and surgery. The final decision regarding management should be made based on an individualized patient centered approach on a case-by-case basis in consultation with a multidisciplinary team including primary care physician, gastroenterologist and surgeon. We provide a comprehensive review for the management of GERD.

摘要

胃食管反流病(GERD)仍然是最常见的胃肠道疾病之一。GERD 的管理因人而异,取决于症状的严重程度、GERD 的并发症以及患者/医生的偏好。不同的管理选择包括生活方式的改变、药物治疗、微创程序和手术。最终的管理决策应根据具体情况,在包括初级保健医生、胃肠病学家和外科医生在内的多学科团队的咨询下,基于个体化的以患者为中心的方法做出。我们为 GERD 的管理提供了全面的综述。

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